Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $3.97 / $12.00	Facility		$1.83	$3.97	$12.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.34	Professional		$1.83	$1.83	$2.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $4.07 / $11.90	Facility		$2.75	$4.07	$11.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $2.04 / $3.08	Professional		$1.83	$2.04	$3.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.83 / $1.83 / $2.92	Facility		$1.83	$1.83	$2.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.10	Professional		$1.83	$1.83	$2.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.73 / $1.73 / $1.83	Facility		$1.73	$1.73	$1.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.33	Professional		$1.83	$1.83	$2.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.10 / $3.28 / $85.00	Facility		$2.10	$3.28	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.59	Professional		$1.83	$1.83	$2.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.81 / $2.08 / $2.62	Professional		$1.81	$2.08	$2.62
United Facility/Professional Professional Modifier Low / Median / High Price $1.83 / $1.83 / $2.12	Professional		$1.83	$1.83	$2.12