Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.07 / $28.10 / $53.04	Facility		$13.07	$28.10	$53.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.25 / $44.04	Professional		$8.66	$14.25	$44.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $17.97 / $28.92	Facility		$14.43	$17.97	$28.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.10 / $8.07 / $17.64	Professional		$7.10	$8.07	$17.64
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $10.29 / $10.29	Facility		$10.29	$10.29	$10.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.15 / $16.34 / $22.06	Facility		$11.15	$16.34	$22.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $21.24 / $22.06	Professional		$13.89	$21.24	$22.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $16.82 / $36.86	Facility		$10.62	$16.82	$36.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.11 / $23.78	Professional		$8.26	$13.11	$23.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $17.10 / $93.24	Facility		$10.62	$17.10	$93.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $10.62 / $21.95	Professional		$8.26	$10.62	$21.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.26 / $13.48 / $19.61	Professional		$12.26	$13.48	$19.61
United Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $8.99 / $26.36	Professional		$5.48	$8.99	$26.36