Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.84 / $9.81 / $34.09	Facility		$3.84	$9.81	$34.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $7.63 / $8.40	Professional		$5.41	$7.63	$8.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.45 / $16.95 / $49.60	Facility		$11.45	$16.95	$49.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $8.53 / $12.70	Professional		$7.63	$8.53	$12.70
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Facility		$10.22	$10.22	$10.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.36 / $7.63 / $10.68	Facility		$5.36	$7.63	$10.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.36 / $7.63 / $12.21	Professional		$5.36	$7.63	$12.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.20 / $7.20 / $7.63	Facility		$7.20	$7.20	$7.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $10.80	Professional		$7.63	$7.63	$10.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $7.80 / $31.27	Facility		$2.82	$7.80	$31.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $7.63 / $11.62	Professional		$7.63	$7.63	$11.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.57 / $11.06	Professional		$5.89	$8.57	$11.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.63 / $9.23	Professional		$7.25	$7.63	$9.23