Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $76.05 / $263.94	Facility		$5.92	$76.05	$263.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $5.70 / $180.92	Professional		$4.86	$5.70	$180.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $11.37 / $31.59	Facility		$7.29	$11.37	$31.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $9.69	Professional		$4.86	$4.86	$9.69
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $6.51 / $6.51	Facility		$6.51	$6.51	$6.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.86 / $4.86 / $8.26	Facility		$4.86	$4.86	$8.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $6.56	Professional		$4.86	$4.86	$6.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $4.58 / $4.86	Facility		$4.58	$4.58	$4.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $15.59	Professional		$4.86	$4.86	$15.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.58 / $6.08 / $27.75	Facility		$4.58	$6.08	$27.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $15.59	Professional		$4.86	$4.86	$15.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $6.21 / $7.07	Professional		$5.36	$6.21	$7.07
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $6.33	Professional		$4.86	$4.86	$6.33