Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $29.03 / $81.90	Facility		$11.61	$29.03	$81.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.28 / $10.36 / $11.61	Professional		$9.28	$10.36	$11.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.25 / $12.77 / $20.55	Facility		$10.25	$12.77	$20.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.73 / $5.73 / $12.53	Professional		$5.73	$5.73	$12.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.31 / $7.31 / $7.31	Facility		$7.31	$7.31	$7.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.92 / $11.61 / $15.67	Facility		$7.92	$11.61	$15.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $15.09 / $15.67	Professional		$9.86	$15.09	$15.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $11.96 / $26.19	Facility		$7.55	$11.96	$26.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.94 / $9.31 / $16.89	Professional		$5.94	$9.31	$16.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.55 / $12.16 / $66.29	Facility		$7.55	$12.16	$66.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.73 / $7.41 / $21.93	Professional		$3.73	$7.41	$21.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.58 / $13.93	Professional		$8.71	$9.58	$13.93
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $6.98 / $16.20	Professional		$4.88	$6.98	$16.20