Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.13 / $67.65 / $373.55	Facility		$3.13	$67.65	$373.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.63	Professional		$2.73	$2.73	$3.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.09 / $6.07 / $17.75	Facility		$4.09	$6.07	$17.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.11 / $4.76	Professional		$2.73	$3.11	$4.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.72 / $2.73 / $4.05	Facility		$2.72	$2.73	$4.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.72 / $2.73 / $4.37	Professional		$2.72	$2.73	$4.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $2.57 / $2.73	Facility		$2.57	$2.57	$2.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $4.49	Professional		$2.73	$2.73	$4.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.06 / $12.63 / $45.41	Facility		$7.06	$12.63	$45.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $6.93	Professional		$2.73	$2.73	$6.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $3.34 / $3.95	Professional		$2.73	$3.34	$3.95
United Facility/Professional Professional Modifier Low / Median / High Price $2.73 / $2.73 / $3.34	Professional		$2.73	$2.73	$3.34