Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $2.93 / $58.57	Facility		$1.35	$2.93	$58.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.29 / $1.35 / $2.40	Professional		$1.29	$1.35	$2.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.02 / $3.16 / $8.77	Facility		$2.02	$3.16	$8.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $2.69	Professional		$1.35	$1.35	$2.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $1.35 / $2.29	Facility		$1.12	$1.35	$2.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.95 / $1.35 / $1.42	Professional		$0.95	$1.35	$1.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.27 / $1.35 / $4.36	Facility		$1.27	$1.35	$4.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $1.35 / $5.13	Professional		$1.35	$1.35	$5.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.35 / $4.36 / $60.83	Facility		$1.35	$4.36	$60.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $3.15 / $5.09	Professional		$1.35	$3.15	$5.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.28 / $1.48 / $1.85	Professional		$1.28	$1.48	$1.85
United Facility/Professional Professional Modifier Low / Median / High Price $0.54 / $1.35 / $1.92	Professional		$0.54	$1.35	$1.92