Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.75 / $17.62 / $31.23	Facility		$6.75	$17.62	$31.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $7.25 / $7.81	Professional		$6.75	$7.25	$7.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.45 / $9.27 / $14.94	Facility		$7.45	$9.27	$14.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $9.22	Professional		$4.17	$4.17	$9.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.75 / $6.75 / $6.75	Professional		$6.75	$6.75	$6.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $8.44 / $11.39	Facility		$5.76	$8.44	$11.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $10.97 / $11.39	Professional		$7.17	$10.97	$11.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $8.69 / $54.35	Facility		$5.49	$8.69	$54.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.77 / $12.29	Professional		$4.29	$6.77	$12.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.49 / $8.69 / $54.35	Facility		$5.49	$8.69	$54.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.52 / $11.34	Professional		$4.29	$5.52	$11.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.33 / $6.96 / $10.12	Professional		$6.33	$6.96	$10.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.54 / $5.08 / $11.80	Professional		$3.54	$5.08	$11.80