Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.50 / $9.41 / $58.55	Facility		$4.50	$9.41	$58.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.99 / $9.80	Professional		$2.18	$2.99	$9.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.27 / $5.09 / $14.17	Facility		$3.27	$5.09	$14.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.67	Professional		$2.18	$2.18	$3.67
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.92 / $2.92 / $2.92	Facility		$2.92	$2.92	$2.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $3.71 / $5.92	Facility		$2.18	$3.71	$5.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.94 / $4.55	Professional		$2.18	$2.94	$4.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $2.06 / $2.18	Facility		$2.06	$2.06	$2.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $4.25	Professional		$2.18	$2.18	$4.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.18 / $6.03 / $29.54	Facility		$2.18	$6.03	$29.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $4.25	Professional		$2.18	$2.18	$4.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $5.09 / $6.59	Professional		$2.72	$5.09	$6.59
United Facility/Professional Professional Modifier Low / Median / High Price $2.18 / $2.18 / $3.06	Professional		$2.18	$2.18	$3.06