Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $10.36 / $10.36	Facility		$10.36	$10.36	$10.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.36 / $10.83 / $19.86	Professional		$10.36	$10.83	$19.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.48 / $24.10 / $38.56	Facility		$17.48	$24.10	$38.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $15.92 / $30.19	Professional		$13.61	$15.92	$30.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $19.28 / $19.29 / $20.74	Professional		$19.28	$19.29	$20.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.80 / $13.64 / $20.23	Facility		$1.80	$13.64	$20.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $12.54 / $30.96	Professional		$1.50	$12.54	$30.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $13.51 / $20.16	Facility		$13.51	$13.51	$20.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.51 / $22.50	Professional		$11.48	$13.51	$22.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $13.51 / $17.73	Facility		$13.51	$13.51	$17.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $13.51 / $15.57	Professional		$12.23	$13.51	$15.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.78 / $15.98 / $23.04	Professional		$12.78	$15.98	$23.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.41 / $9.91 / $16.03	Professional		$6.41	$9.91	$16.03