Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $14.13 / $16.98	Facility		$10.00	$14.13	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.00 / $12.88	Professional		$6.03	$10.00	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.77 / $21.88	Professional		$7.08	$9.77	$21.88
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Professional		$14.45	$14.45	$14.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $10.72 / $16.98	Facility		$7.08	$10.72	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.59 / $19.05	Professional		$9.12	$12.59	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.00 / $10.00	Facility		$9.33	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $10.00	Professional		$8.51	$8.51	$10.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.00 / $19.05	Facility		$9.33	$10.00	$19.05
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $10.00	Professional		$8.51	$8.51	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $17.78	Professional		$8.71	$12.30	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $34.67	Professional		$16.98	$19.05	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $6.92 / $10.47	Facility		$5.89	$6.92	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.41 / $10.72	Professional		$5.37	$7.41	$10.72