Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.60 / $76.16 / $523.20	Facility		$8.60	$76.16	$523.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $6.94 / $359.84	Professional		$5.05	$6.94	$359.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $11.84 / $32.89	Facility		$7.59	$11.84	$32.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $10.09	Professional		$5.05	$5.05	$10.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $6.78 / $6.78	Facility		$6.78	$6.78	$6.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.20 / $7.77	Facility		$5.05	$5.20	$7.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.20 / $6.83	Professional		$5.05	$5.20	$6.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $4.76 / $5.05	Facility		$4.76	$4.76	$5.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $31.09	Professional		$5.05	$5.05	$31.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $19.98 / $77.52	Facility		$4.76	$19.98	$77.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $31.09	Professional		$5.05	$5.05	$31.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $7.28 / $13.32	Professional		$5.72	$7.28	$13.32
United Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
United Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.64 / $57.79	Professional		$5.05	$5.64	$57.79