Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.71 / $16.71 / $16.71	Facility		$16.71	$16.71	$16.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $16.73 / $23.56	Professional		$16.71	$16.73	$23.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.96 / $25.70 / $48.77	Professional		$21.96	$25.70	$48.77
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.12 / $33.46	Professional		$31.11	$31.12	$33.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.83 / $21.95 / $32.52	Facility		$2.83	$21.95	$32.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.65 / $20.99 / $38.40	Professional		$2.65	$20.99	$38.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $32.49	Facility		$21.85	$21.85	$32.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.85 / $37.88	Professional		$18.57	$21.85	$37.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.85 / $21.85 / $28.68	Facility		$21.85	$21.85	$28.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $21.85 / $28.68	Professional		$21.85	$21.85	$28.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.65 / $25.82 / $37.23	Professional		$20.65	$25.82	$37.23
United Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $15.52 / $25.31	Professional		$10.35	$15.52	$25.31