Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.25 / $16.67 / $88.90	Facility		$2.25	$16.67	$88.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $7.68 / $8.52	Professional		$2.00	$7.68	$8.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $17.05 / $49.92	Facility		$11.52	$17.05	$49.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $8.75 / $13.14	Professional		$7.68	$8.75	$13.14
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $7.68 / $11.67	Facility		$7.68	$7.68	$11.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $10.37	Professional		$7.68	$7.68	$10.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.25 / $7.25 / $7.68	Facility		$7.25	$7.25	$7.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $10.87	Professional		$7.68	$7.68	$10.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.68 / $33.86 / $196.32	Facility		$7.68	$33.86	$196.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $25.80	Professional		$7.68	$7.68	$25.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.15 / $7.57 / $9.75	Professional		$2.15	$7.57	$9.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $7.68 / $25.75	Professional		$7.68	$7.68	$25.75