Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $16.21 / $25.45	Facility		$6.61	$16.21	$25.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $11.93	Professional		$6.61	$6.61	$11.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $9.09 / $14.62	Facility		$7.29	$9.09	$14.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $3.60 / $8.92	Professional		$3.60	$3.60	$8.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.51 / $8.26 / $11.15	Facility		$5.51	$8.26	$11.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $10.74 / $11.15	Professional		$7.02	$10.74	$11.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $8.51 / $28.19	Facility		$5.37	$8.51	$28.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $5.86 / $11.87	Professional		$3.80	$5.86	$11.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.78 / $8.51 / $32.40	Facility		$4.78	$8.51	$32.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $4.73 / $9.78	Professional		$3.80	$4.73	$9.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.20 / $6.82 / $9.92	Professional		$6.20	$6.82	$9.92
United Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $4.96 / $10.91	Professional		$3.47	$4.96	$10.91