Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.23 / $12.23 / $12.23	Facility		$12.23	$12.23	$12.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $12.23 / $16.59	Professional		$11.44	$12.23	$16.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $28.63 / $45.80	Facility		$20.77	$28.63	$45.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.05 / $32.84	Professional		$14.79	$17.05	$32.84
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $24.30 / $24.32	Professional		$24.30	$24.30	$24.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.06 / $16.39 / $24.30	Facility		$2.06	$16.39	$24.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.84 / $15.46 / $30.00	Professional		$1.84	$15.46	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $25.71	Facility		$14.58	$14.58	$25.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $14.58 / $26.63	Professional		$12.39	$14.58	$26.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $14.58 / $19.14	Facility		$14.58	$14.58	$19.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.58 / $14.58 / $19.14	Professional		$14.58	$14.58	$19.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $17.39 / $25.07	Professional		$13.91	$17.39	$25.07
United Facility/Professional Professional Modifier Low / Median / High Price $7.62 / $11.43 / $14.79	Professional		$7.62	$11.43	$14.79