Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $388.61 / $3,633.31	Facility		$4.40	$388.61	$3,633.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $2.59 / $2.75	Professional		$2.59	$2.59	$2.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.73 / $13.94 / $21.83	Facility		$8.73	$13.94	$21.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.56 / $0.80 / $2.18	Professional		$0.56	$0.80	$2.18
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $3.17 / $3.17	Facility		$3.17	$3.17	$3.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $59,702.01 / $92,609.07	Facility		$2.75	$59,702.01	$92,609.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $10.22	Professional		$2.75	$2.75	$10.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $2.75 / $85.00	Facility		$2.75	$2.75	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $2.75	Professional		$2.75	$2.75	$2.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $15.34 / $56.64	Facility		$3.37	$15.34	$56.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $2.75 / $3.24	Professional		$2.75	$2.75	$3.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $2.70 / $2.70 / $3.35	Professional		$2.70	$2.70	$3.35