Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.16 / $32.90 / $54.16	Facility		$13.16	$32.90	$54.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $13.16 / $15.63	Professional		$8.72	$13.16	$15.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.53 / $18.10 / $29.11	Facility		$14.53	$18.10	$29.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $8.11 / $17.76	Professional		$8.11	$8.11	$17.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $13.16 / $13.16	Professional		$13.16	$13.16	$13.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $16.45 / $22.21	Facility		$10.97	$16.45	$22.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $21.39 / $22.21	Professional		$13.98	$21.39	$22.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.93 / $56.99	Facility		$10.69	$16.93	$56.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.20 / $23.95	Professional		$8.42	$13.20	$23.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.69 / $16.93 / $62.37	Facility		$10.69	$16.93	$62.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.70 / $22.10	Professional		$8.42	$10.70	$22.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $13.57 / $19.74	Professional		$12.34	$13.57	$19.74
United Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $5.92 / $14.81	Facility		$5.92	$5.92	$14.81
United Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.86 / $23.00	Professional		$6.91	$9.86	$23.00