Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $29.45 / $52.68	Facility		$12.19	$29.45	$52.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $11.85 / $35.72	Professional		$9.53	$11.85	$35.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.70 / $14.58 / $23.45	Facility		$11.70	$14.58	$23.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.54 / $6.54 / $14.31	Professional		$6.54	$6.54	$14.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.35 / $8.35 / $8.35	Facility		$8.35	$8.35	$8.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $13.25 / $17.89	Facility		$7.28	$13.25	$17.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $17.23 / $17.89	Professional		$11.26	$17.23	$17.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.64 / $43.29	Facility		$8.61	$13.64	$43.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.63 / $19.30	Professional		$6.77	$10.63	$19.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.64 / $50.24	Facility		$8.61	$13.64	$50.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.68 / $17.79	Professional		$6.77	$8.68	$17.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $10.93 / $15.90	Professional		$9.94	$10.93	$15.90
United Facility/Professional Facility Modifier Low / Median / High Price $15.90 / $15.90 / $15.90	Facility		$15.90	$15.90	$15.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $8.11 / $21.10	Professional		$5.57	$8.11	$21.10