Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $8.71 / $15.83	Professional		$7.25	$8.71	$15.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.78 / $20.38 / $32.60	Facility		$14.78	$20.38	$32.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $13.71 / $28.66	Professional		$12.40	$13.71	$28.66
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $19.44 / $19.72	Professional		$18.32	$19.44	$19.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.59 / $12.38 / $20.07	Facility		$1.59	$12.38	$20.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.39 / $12.23 / $26.85	Professional		$1.39	$12.23	$26.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $19.21	Facility		$10.87	$10.87	$19.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.87 / $18.75	Professional		$9.24	$10.87	$18.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.87 / $10.87 / $14.27	Facility		$10.87	$10.87	$14.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.87 / $14.27	Professional		$9.24	$10.87	$14.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $20.00 / $28.84	Professional		$16.00	$20.00	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.60 / $9.40 / $14.00	Professional		$5.60	$9.40	$14.00