Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.27 / $15.73 / $55.08	Facility		$6.27	$15.73	$55.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.83 / $13.32	Professional		$4.79	$4.83	$13.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $11.21 / $31.14	Facility		$7.19	$11.21	$31.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $9.10	Professional		$4.79	$4.79	$9.10
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $6.42 / $6.42 / $6.42	Facility		$6.42	$6.42	$6.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $7.29	Facility		$4.79	$4.79	$7.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.47	Professional		$4.79	$4.79	$6.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.51 / $4.51 / $4.79	Facility		$4.51	$4.51	$4.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $16.05	Professional		$4.79	$4.79	$16.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $2.89 / $4.79 / $45.52	Facility		$2.89	$4.79	$45.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $16.05	Professional		$4.79	$4.79	$16.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $6.94 / $9.22	Professional		$5.26	$6.94	$9.22
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $6.27	Professional		$4.79	$4.79	$6.27