Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $7.81 / $603.07	Facility		$2.25	$7.81	$603.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.92 / $2.79 / $4.42	Professional		$1.92	$2.79	$4.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.01 / $4.93 / $8.01	Facility		$3.01	$4.93	$8.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $3.18 / $4.93	Professional		$2.79	$3.18	$4.93
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $2.79	Professional		$2.79	$2.79	$2.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $2.39 / $3.91	Facility		$1.59	$2.39	$3.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.79 / $4.46	Professional		$1.59	$2.79	$4.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $2.63 / $2.79	Facility		$2.63	$2.63	$2.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.16	Professional		$2.79	$2.79	$3.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.94 / $2.99 / $18.27	Facility		$0.94	$2.99	$18.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $2.79 / $3.93	Professional		$2.48	$2.79	$3.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $2.79 / $3.62	Professional		$1.74	$2.79	$3.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.79 / $2.79 / $3.46	Professional		$2.79	$2.79	$3.46