Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.76 / $24.74 / $447.25	Facility		$1.76	$24.74	$447.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.75 / $1.77 / $2.41	Professional		$1.75	$1.77	$2.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.64 / $4.12 / $11.44	Facility		$2.64	$4.12	$11.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $2.90	Professional		$1.76	$1.76	$2.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.65 / $1.76 / $2.54	Facility		$1.65	$1.76	$2.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $1.76 / $2.38	Professional		$1.76	$1.76	$2.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.93 / $1.66 / $1.76	Facility		$0.93	$1.66	$1.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.93 / $1.76 / $1.76	Professional		$0.93	$1.76	$1.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.34 / $0.93 / $3.00	Facility		$0.34	$0.93	$3.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.34 / $1.76	Professional		$0.85	$1.34	$1.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.73 / $1.93 / $2.49	Professional		$1.73	$1.93	$2.49
United Facility/Professional Professional Modifier Low / Median / High Price $0.70 / $1.76 / $1.90	Professional		$0.70	$1.76	$1.90