Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.26 / $20.67 / $49.00	Facility		$9.26	$20.67	$49.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $9.26 / $11.58	Professional		$9.26	$9.26	$11.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $12.74 / $20.49	Facility		$10.23	$12.74	$20.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $5.72 / $12.50	Professional		$5.20	$5.72	$12.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.30 / $7.30 / $7.30	Facility		$7.30	$7.30	$7.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.90 / $11.58 / $15.63	Facility		$7.90	$11.58	$15.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $15.05 / $15.63	Professional		$9.84	$15.05	$15.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $11.93 / $43.89	Facility		$7.53	$11.93	$43.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.28 / $16.85	Professional		$5.94	$9.28	$16.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $11.93 / $44.52	Facility		$7.53	$11.93	$44.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $7.53 / $15.53	Professional		$5.94	$7.53	$15.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.55 / $13.90	Professional		$8.69	$9.55	$13.90
United Facility/Professional Facility Modifier Low / Median / High Price $7.53 / $11.58 / $11.58	Facility		$7.53	$11.58	$11.58
United Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $6.95 / $16.17	Professional		$4.86	$6.95	$16.17