Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $18.63 / $64.81	Facility		$8.21	$18.63	$64.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.22 / $10.48	Professional		$7.86	$8.22	$10.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.33 / $18.26 / $53.43	Facility		$12.33	$18.26	$53.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $9.55 / $15.51	Professional		$8.22	$9.55	$15.51
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $19.48 / $19.48 / $19.48	Facility		$19.48	$19.48	$19.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $8.22 / $11.79	Facility		$7.86	$8.22	$11.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $8.22 / $13.15	Professional		$7.86	$8.22	$13.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $8.22	Facility		$7.76	$7.76	$8.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $12.96	Professional		$8.22	$8.22	$12.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.08 / $17.32 / $85.00	Facility		$6.08	$17.32	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $15.27	Professional		$8.22	$8.22	$15.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.43 / $11.48	Professional		$8.19	$9.43	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $8.22 / $10.07	Professional		$8.22	$8.22	$10.07