Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $16.54 / $52.20	Facility		$7.32	$16.54	$52.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.44 / $8.16	Professional		$5.09	$6.44	$8.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.15 / $8.91 / $14.33	Facility		$7.15	$8.91	$14.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $8.74	Professional		$3.45	$3.45	$8.74
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.09 / $5.09 / $5.09	Facility		$5.09	$5.09	$5.09
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $6.48 / $6.48 / $6.48	Professional		$6.48	$6.48	$6.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $8.51 / $10.94	Facility		$6.08	$8.51	$10.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.27 / $8.11 / $13.34	Professional		$5.27	$8.11	$13.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $8.35 / $29.26	Facility		$5.27	$8.35	$29.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.61 / $11.87	Professional		$3.63	$5.61	$11.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.27 / $8.35 / $46.27	Facility		$5.27	$8.35	$46.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.61 / $11.72	Professional		$3.63	$5.61	$11.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $6.68 / $9.72	Professional		$6.08	$6.68	$9.72
United Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $4.86 / $10.61	Professional		$3.40	$4.86	$10.61