Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $53.48 / $170.95	Facility		$19.14	$53.48	$170.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.68 / $14.91 / $18.64	Professional		$9.68	$14.91	$18.64
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 $17.03 / $60.27 / $148.69	Facility		$17.03	$60.27	$148.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.36 / $8.75 / $15.33	Professional		$8.36	$8.75	$15.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $17.47 / $23.06	Professional		$13.98	$17.47	$23.06
United Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $6.71 / $16.78	Facility		$6.71	$6.71	$16.78
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $22.37	Professional		$7.83	$11.18	$22.37