Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $17.78 / $4,365.16	Facility		$8.13	$17.78	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $36.31	Professional		$7.94	$8.13	$36.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.14 / $53.70	Facility		$8.91	$15.14	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.33 / $14.45	Professional		$8.13	$9.33	$14.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $15.85	Facility		$10.47	$10.47	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $24.55	Professional		$10.47	$10.47	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $20.89	Facility		$7.76	$7.76	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $14.45	Professional		$8.13	$8.13	$14.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.78 / $85.11	Facility		$7.76	$17.78	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $17.38	Professional		$8.13	$8.13	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $13.80	Professional		$8.13	$10.47	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.51 / $12.88	Professional		$6.31	$8.51	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $10.47	Facility		$8.13	$8.13	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.71 / $13.18	Professional		$8.13	$8.71	$13.18