Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.81 / $45.40 / $128.59	Facility		$2.81	$45.40	$128.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.18 / $44.00	Professional		$2.02	$2.18	$44.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.03 / $4.73 / $13.13	Facility		$3.03	$4.73	$13.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $3.83	Professional		$2.02	$2.02	$3.83
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.71 / $2.71 / $2.71	Facility		$2.71	$2.71	$2.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $2.18 / $3.29	Facility		$2.02	$2.18	$3.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.18 / $2.73	Professional		$2.02	$2.18	$2.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $1.91 / $2.02	Facility		$1.91	$1.91	$2.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $6.79	Professional		$2.02	$2.02	$6.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $11.15 / $20.13	Facility		$2.31	$11.15	$20.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $7.68	Professional		$2.02	$2.02	$7.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.22 / $2.71 / $3.05	Professional		$2.22	$2.71	$3.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.02 / $2.02 / $2.63	Professional		$2.02	$2.02	$2.63