Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.71 / $30.72 / $86.23	Facility		$13.71	$30.72	$86.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $12.35 / $36.96	Professional		$10.28	$12.35	$36.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.11 / $15.08 / $24.26	Facility		$12.11	$15.08	$24.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $14.80	Professional		$6.77	$6.77	$14.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.64 / $8.64 / $8.64	Facility		$8.64	$8.64	$8.64
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.97 / $10.97 / $10.97	Professional		$10.97	$10.97	$10.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $14.40 / $18.51	Facility		$11.00	$14.40	$18.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $13.71 / $22.58	Professional		$8.91	$13.71	$22.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.11 / $31.85	Facility		$8.91	$14.11	$31.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.93 / $11.00 / $19.95	Professional		$6.93	$11.00	$19.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.96 / $24.76 / $108.82	Facility		$8.96	$24.76	$108.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $10.28 / $20.74	Professional		$5.48	$10.28	$20.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $11.30 / $16.44	Professional		$10.28	$11.30	$16.44
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $8.23 / $19.17	Professional		$5.76	$8.23	$19.17