Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $3.49 / $1,488.51	Facility		$1.61	$3.49	$1,488.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.55 / $1.62 / $3.70	Professional		$1.55	$1.62	$3.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $2.59 / $4.03	Facility		$1.74	$2.59	$4.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.71	Professional		$1.61	$1.61	$2.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.61 / $1.61 / $2.74	Facility		$1.61	$1.61	$2.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.17	Professional		$1.61	$1.61	$2.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.52 / $1.52 / $1.61	Facility		$1.52	$1.52	$1.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.36	Professional		$1.61	$1.61	$2.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.11	Facility		$4.11	$4.11	$4.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $2.36	Professional		$1.61	$1.61	$2.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.71 / $2.01 / $2.26	Professional		$1.71	$2.01	$2.26
United Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $1.61 / $1.74	Professional		$1.61	$1.61	$1.74