Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $56.46 / $177.16	Facility		$19.14	$56.46	$177.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $14.91 / $25.59	Professional		$12.22	$14.91	$25.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.46 / $20.50 / $32.99	Facility		$16.46	$20.50	$32.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $18.64	Professional		$7.46	$7.46	$18.64
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $11.74 / $11.74	Facility		$11.74	$11.74	$11.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $19.57 / $25.16	Facility		$13.98	$19.57	$25.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $18.80 / $30.70	Professional		$12.12	$18.80	$30.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.12 / $19.20 / $71.51	Facility		$12.12	$19.20	$71.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.76 / $26.85	Professional		$8.36	$8.76	$26.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.19 / $73.12 / $168.78	Facility		$19.19	$73.12	$168.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.75 / $25.69	Professional		$8.36	$8.75	$25.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $16.77 / $23.06	Professional		$13.98	$16.77	$23.06
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $24.42	Professional		$7.83	$11.18	$24.42