Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.50 / $39.81	Facility		$9.33	$19.50	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $18.20	Professional		$10.00	$10.00	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $22.39 / $67.61	Facility		$11.22	$22.39	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.22 / $18.20	Professional		$10.47	$11.22	$18.20
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $10.47	Facility		$9.77	$9.77	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.60	Professional		$10.47	$10.47	$16.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $9.77 / $12.30	Facility		$7.76	$9.77	$12.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.60	Professional		$10.47	$10.47	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.88 / $15.14	Professional		$10.23	$12.88	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.05 / $26.30	Professional		$11.22	$19.05	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $11.48	Professional		$10.47	$10.47	$11.48