Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $15.57 / $85.00	Facility		$4.46	$15.57	$85.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $6.83 / $14.82	Professional		$3.17	$6.83	$14.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $15.98 / $44.40	Facility		$10.25	$15.98	$44.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $11.85	Professional		$6.83	$6.83	$11.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $9.15 / $9.15	Facility		$9.15	$9.15	$9.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $11.61	Facility		$6.83	$6.83	$11.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $9.22	Professional		$6.83	$6.83	$9.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.44 / $6.83	Facility		$6.44	$6.44	$6.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $26.28	Professional		$6.83	$6.83	$26.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.44 / $6.83 / $6.83	Facility		$6.44	$6.83	$6.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $26.28	Professional		$6.83	$6.83	$26.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $3.92 / $6.47 / $9.56	Professional		$3.92	$6.47	$9.56
United Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Facility		$6.83	$6.83	$6.83
United Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $6.83 / $9.50	Professional		$6.83	$6.83	$9.50