Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $19.12 / $31.83	Facility		$6.88	$19.12	$31.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $12.42	Professional		$6.88	$6.88	$12.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.46 / $15.22	Facility		$7.59	$9.46	$15.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $9.27	Professional		$4.25	$4.25	$9.27
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.42 / $5.42 / $5.42	Facility		$5.42	$5.42	$5.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $8.60 / $11.61	Facility		$5.87	$8.60	$11.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $11.18 / $11.61	Professional		$7.31	$11.18	$11.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $8.85 / $19.41	Facility		$5.59	$8.85	$19.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.90 / $12.52	Professional		$4.29	$6.90	$12.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $8.85 / $32.60	Facility		$5.59	$8.85	$32.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.59 / $11.56	Professional		$4.29	$5.59	$11.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.09 / $10.32	Professional		$6.45	$7.09	$10.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.17 / $12.02	Professional		$3.61	$5.17	$12.02