Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $21.88 / $97.72	Facility		$5.62	$21.88	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $3.98 / $6.31	Professional		$3.98	$3.98	$6.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10.23 / $30.90	Facility		$5.13	$10.23	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.37 / $8.91	Professional		$4.79	$5.37	$8.91
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $4.79	Facility		$4.79	$4.79	$4.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Professional		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $4.47 / $4.79	Facility		$4.47	$4.47	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $11.22	Professional		$4.79	$4.79	$11.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $11.48 / $52.48	Facility		$4.47	$11.48	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $11.22	Professional		$4.79	$4.79	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.89 / $6.92	Professional		$4.79	$5.89	$6.92
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.03 / $8.32	Professional		$3.55	$6.03	$8.32
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.17	Professional		$4.79	$4.79	$6.17