Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $9.72 / $16.14	Facility		$5.46	$9.72	$16.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.24 / $5.46 / $12.45	Professional		$5.24	$5.46	$12.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $8.78 / $15.56	Facility		$5.90	$8.78	$15.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $9.19	Professional		$5.46	$5.46	$9.19
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $7.32 / $7.32 / $7.32	Facility		$7.32	$7.32	$7.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.19 / $5.46 / $7.84	Facility		$5.19	$5.46	$7.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $5.19 / $7.37	Professional		$5.19	$5.19	$7.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.15 / $5.15 / $5.46	Facility		$5.15	$5.15	$5.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $8.97	Professional		$5.46	$5.46	$8.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.65 / $22.65 / $22.65	Facility		$22.65	$22.65	$22.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $8.97	Professional		$5.46	$5.46	$8.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $6.82 / $7.64	Professional		$5.70	$6.82	$7.64
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $5.91	Professional		$5.46	$5.46	$5.91