Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.75 / $35.89 / $65.01	Facility		$13.75	$35.89	$65.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $15.36 / $30.96	Professional		$13.75	$15.36	$30.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $18.91 / $30.42	Facility		$15.18	$18.91	$30.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $8.49 / $18.55	Professional		$8.49	$8.49	$18.55
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.83 / $10.83 / $10.83	Facility		$10.83	$10.83	$10.83
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.75 / $13.75 / $13.75	Professional		$13.75	$13.75	$13.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.73 / $17.19 / $23.21	Facility		$11.73	$17.19	$23.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.61 / $22.35 / $23.21	Professional		$14.61	$22.35	$23.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $17.69 / $38.78	Facility		$11.17	$17.69	$38.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.79 / $25.02	Professional		$8.75	$13.79	$25.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $17.69 / $65.20	Facility		$11.17	$17.69	$65.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $10.75 / $23.09	Professional		$6.88	$10.75	$23.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $14.17 / $20.62	Professional		$12.89	$14.17	$20.62
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $8.60 / $24.02	Professional		$5.54	$8.60	$24.02