Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.45 / $20.14 / $27.06	Facility		$6.45	$20.14	$27.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $6.92 / $11.64	Professional		$6.45	$6.92	$11.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.12 / $8.86 / $14.26	Facility		$7.12	$8.86	$14.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $8.69	Professional		$3.98	$3.98	$8.69
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $5.08 / $5.08 / $5.08	Facility		$5.08	$5.08	$5.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.47 / $8.06 / $10.88	Facility		$6.47	$8.06	$10.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $10.48 / $10.88	Professional		$6.85	$10.48	$10.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $8.30 / $32.11	Facility		$5.24	$8.30	$32.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $6.47 / $11.87	Professional		$4.13	$6.47	$11.87
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.24 / $8.44 / $32.11	Facility		$5.24	$8.44	$32.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $5.24 / $10.83	Professional		$4.13	$5.24	$10.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $6.65 / $9.68	Professional		$6.05	$6.65	$9.68
United Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.84 / $11.74	Professional		$3.39	$4.84	$11.74