Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.93 / $6.32 / $25.19	Facility		$1.93	$6.32	$25.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.77 / $7.39 / $7.89	Professional		$2.77	$7.39	$7.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $17.29 / $48.04	Facility		$11.09	$17.29	$48.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $12.45	Professional		$7.39	$7.39	$12.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Facility		$9.90	$9.90	$9.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.39 / $7.39 / $12.56	Facility		$7.39	$7.39	$12.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $9.98	Professional		$7.39	$7.39	$9.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $6.97 / $7.39	Facility		$6.97	$6.97	$7.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $23.82	Professional		$7.39	$7.39	$23.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.69 / $37.79 / $70.48	Facility		$3.69	$37.79	$70.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $27.62	Professional		$7.39	$7.39	$27.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $1.76 / $3.42 / $10.34	Professional		$1.76	$3.42	$10.34
United Facility/Professional Facility Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Facility		$7.39	$7.39	$7.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $9.68	Professional		$7.39	$7.39	$9.68