Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $8.51 / $3,235.32	Facility		$4.28	$8.51	$3,235.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.28 / $9.67	Professional		$4.24	$4.28	$9.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $7.41 / $12.17	Facility		$4.58	$7.41	$12.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $7.14	Professional		$4.24	$4.24	$7.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $7.21	Facility		$4.24	$4.24	$7.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $5.72	Professional		$4.24	$4.24	$5.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $4.00 / $4.24	Facility		$4.00	$4.00	$4.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $6.92	Professional		$4.24	$4.24	$6.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.75 / $4.00 / $6.46	Facility		$3.75	$4.00	$6.46
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $6.92	Professional		$4.24	$4.24	$6.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $5.30 / $6.14	Professional		$4.53	$5.30	$6.14
United Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $4.24 / $4.24	Facility		$4.24	$4.24	$4.24
United Facility/Professional Professional Modifier Low / Median / High Price $4.24 / $4.24 / $4.74	Professional		$4.24	$4.24	$4.74