Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $57.64 / $97.78	Facility		$9.49	$57.64	$97.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $15.50 / $59.20	Professional		$6.96	$15.50	$59.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.44 / $16.29 / $45.24	Facility		$10.44	$16.29	$45.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $11.73	Professional		$6.96	$6.96	$11.73
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.89 / $6.96 / $10.21	Facility		$6.89	$6.96	$10.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $6.96 / $9.40	Professional		$6.89	$6.96	$9.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.56 / $6.56 / $6.96	Facility		$6.56	$6.56	$6.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $12.92	Professional		$6.96	$6.96	$12.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.33 / $18.30 / $44.16	Facility		$7.33	$18.30	$44.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $12.92	Professional		$6.96	$6.96	$12.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $8.69 / $9.99	Professional		$7.57	$8.69	$9.99
United Facility/Professional Facility Modifier Low / Median / High Price $6.96 / $6.96 / $6.96	Facility		$6.96	$6.96	$6.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.96 / $6.96 / $9.06	Professional		$6.96	$6.96	$9.06