Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $12.47 / $12.47	Facility		$12.47	$12.47	$12.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $12.47 / $17.68	Professional		$12.17	$12.47	$17.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $29.20 / $46.72	Facility		$21.19	$29.20	$46.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.60 / $36.85	Professional		$16.50	$16.60	$36.85
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.51 / $25.13	Professional		$23.43	$23.51	$25.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.11 / $16.57 / $23.71	Facility		$2.11	$16.57	$23.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.98 / $15.28 / $29.05	Professional		$1.98	$15.28	$29.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $22.65	Facility		$15.26	$15.26	$22.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $15.26 / $27.00	Professional		$12.97	$15.26	$27.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $15.26 / $20.03	Facility		$15.26	$15.26	$20.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.26 / $15.26 / $20.03	Professional		$15.26	$15.26	$20.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.60 / $19.51 / $28.13	Professional		$15.60	$19.51	$28.13
United Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $11.50 / $17.42	Professional		$7.66	$11.50	$17.42