Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $9.02 / $73.61	Facility		$3.57	$9.02	$73.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.50 / $3.60 / $9.65	Professional		$3.50	$3.60	$9.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $8.35 / $23.21	Facility		$5.36	$8.35	$23.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $7.12	Professional		$3.57	$3.57	$7.12
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $4.78 / $4.78	Facility		$4.78	$4.78	$4.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.57 / $3.57 / $6.07	Facility		$3.57	$3.57	$6.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $4.82	Professional		$3.57	$3.57	$4.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.37 / $3.57	Facility		$3.37	$3.37	$3.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $4.68	Professional		$3.57	$3.57	$4.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $3.57 / $8.67	Facility		$3.37	$3.57	$8.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $13.37	Professional		$3.57	$3.57	$13.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $4.46 / $5.17	Professional		$3.81	$4.46	$5.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.57 / $3.57 / $4.97	Professional		$3.57	$3.57	$4.97