Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.54 / $7.77 / $40.21	Facility		$2.54	$7.77	$40.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.80 / $1.89 / $4.98	Professional		$1.80	$1.89	$4.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.73 / $4.26 / $11.83	Facility		$2.73	$4.26	$11.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $3.45	Professional		$1.82	$1.82	$3.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $2.44 / $2.44	Facility		$2.44	$2.44	$2.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.79 / $1.82 / $2.86	Facility		$1.79	$1.82	$2.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.79 / $1.82 / $2.46	Professional		$1.79	$1.82	$2.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $1.71 / $1.82	Facility		$1.71	$1.71	$1.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $5.27	Professional		$1.82	$1.82	$5.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.71 / $4.50 / $18.03	Facility		$1.71	$4.50	$18.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $5.27	Professional		$1.82	$1.82	$5.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.96 / $2.27 / $2.59	Professional		$1.96	$2.27	$2.59
United Facility/Professional Professional Modifier Low / Median / High Price $1.82 / $1.82 / $2.52	Professional		$1.82	$1.82	$2.52