Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $11.85 / $18.00	Facility		$5.46	$11.85	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.45 / $5.50 / $13.65	Professional		$5.45	$5.50	$13.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $9.53 / $15.67	Facility		$5.90	$9.53	$15.67
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 $12.94 / $12.94 / $12.94	Facility		$12.94	$12.94	$12.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.46 / $5.46 / $9.27	Facility		$5.46	$5.46	$9.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $7.37	Professional		$5.46	$5.46	$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 / $8.27	Professional		$5.46	$5.46	$8.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $15.20	Facility		$5.37	$5.37	$15.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $5.46 / $8.27	Professional		$5.46	$5.46	$8.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $6.82 / $7.91	Professional		$5.92	$6.82	$7.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.46 / $6.08 / $7.67	Professional		$5.46	$6.08	$7.67