Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.22 / $17.42 / $57.94	Facility		$6.22	$17.42	$57.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.66 / $7.15	Professional		$3.91	$5.66	$7.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.87 / $8.56 / $13.77	Facility		$6.87	$8.56	$13.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $3.11 / $5.24	Professional		$3.11	$3.11	$5.24
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.22 / $6.22 / $6.22	Professional		$6.22	$6.22	$6.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $8.17 / $10.50	Facility		$5.84	$8.17	$10.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $7.78 / $12.81	Professional		$5.05	$7.78	$12.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $8.01 / $16.39	Facility		$5.05	$8.01	$16.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.05 / $11.36	Professional		$3.31	$5.05	$11.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $8.15 / $45.08	Facility		$5.05	$8.15	$45.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.07 / $8.67	Professional		$3.31	$4.07	$8.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $6.42 / $9.34	Professional		$5.84	$6.42	$9.34
United Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $4.67 / $9.34	Professional		$3.06	$4.67	$9.34