Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $15.38 / $30.14	Facility		$4.59	$15.38	$30.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.04 / $9.05 / $14.78	Professional		$4.04	$9.05	$14.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $21.18 / $58.83	Facility		$13.58	$21.18	$58.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $15.25	Professional		$9.05	$9.05	$15.25
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.13 / $12.13 / $12.13	Facility		$12.13	$12.13	$12.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $9.05 / $15.39	Facility		$9.05	$9.05	$15.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $12.22	Professional		$9.05	$9.05	$12.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $9.05	Facility		$8.53	$8.53	$9.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $9.41	Professional		$9.05	$9.05	$9.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.16 / $5.16 / $5.16	Facility		$5.16	$5.16	$5.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $9.05 / $9.41	Professional		$7.04	$9.05	$9.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $6.10 / $12.67	Professional		$5.00	$6.10	$12.67
United Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $9.05 / $11.78	Professional		$9.05	$9.05	$11.78