Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.55 / $94.19 / $884.14	Facility		$6.55	$94.19	$884.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.13 / $591.90	Professional		$3.02	$5.13	$591.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.53 / $7.07 / $19.63	Facility		$4.53	$7.07	$19.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $6.02	Professional		$3.02	$3.02	$6.02
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.05 / $4.05 / $4.05	Facility		$4.05	$4.05	$4.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $3.02 / $4.38	Facility		$2.89	$3.02	$4.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.89 / $3.02 / $4.08	Professional		$2.89	$3.02	$4.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.85 / $2.85 / $3.02	Facility		$2.85	$2.85	$3.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $12.52	Professional		$3.02	$3.02	$12.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $14.80 / $176.58	Facility		$3.02	$14.80	$176.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $15.04	Professional		$3.02	$3.02	$15.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $4.19 / $6.17	Professional		$3.32	$4.19	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.96	Professional		$3.02	$3.02	$3.96