Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $50.97 / $100.00	Facility		$21.69	$50.97	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.36 / $21.69 / $39.14	Professional		$14.36	$21.69	$39.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $29.82 / $47.98	Facility		$23.94	$29.82	$47.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $10.84 / $27.11	Professional		$10.84	$10.84	$27.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $17.07	Facility		$17.07	$17.07	$17.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.89 / $27.11 / $36.60	Facility		$14.89	$27.11	$36.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $35.24 / $36.60	Professional		$23.04	$35.24	$36.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.91 / $105.27	Facility		$17.62	$27.91	$105.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $31.39 / $39.24	Professional		$17.62	$31.39	$39.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $27.91 / $105.27	Facility		$17.62	$27.91	$105.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.17 / $17.62 / $17.62	Professional		$14.17	$17.62	$17.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $24.39 / $33.54	Professional		$20.32	$24.39	$33.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.39 / $16.27 / $32.53	Professional		$11.39	$16.27	$32.53