Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.65 / $31.88 / $106.50	Facility		$12.65	$31.88	$106.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $13.31 / $15.50	Professional		$10.08	$13.31	$15.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $17.05 / $27.43	Facility		$13.69	$17.05	$27.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.50 / $7.65 / $16.73	Professional		$6.50	$7.65	$16.73
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.33 / $15.50 / $20.93	Facility		$10.33	$15.50	$20.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $20.14 / $20.93	Professional		$13.18	$20.14	$20.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $15.97 / $64.88	Facility		$10.08	$15.97	$64.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $12.43 / $22.56	Professional		$7.93	$12.43	$22.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $16.23 / $84.94	Facility		$10.08	$16.23	$84.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.93 / $12.43 / $28.12	Professional		$7.93	$12.43	$28.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $12.79 / $18.60	Professional		$11.63	$12.79	$18.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $9.30 / $21.66	Professional		$6.51	$9.30	$21.66