Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $37.15 / $169.82	Facility		$18.20	$37.15	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $40.74	Professional		$12.30	$14.79	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $19.50 / $34.67	Facility		$16.98	$19.50	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.77 / $23.44	Professional		$7.41	$9.77	$23.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.50 / $23.44	Facility		$12.02	$19.50	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.62 / $25.12	Professional		$12.02	$18.62	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $39.81	Facility		$12.02	$12.02	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.77 / $25.70	Professional		$8.51	$9.77	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $46.77	Facility		$12.02	$19.05	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.77 / $22.91	Professional		$8.51	$9.77	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.49 / $22.91	Professional		$12.59	$15.49	$22.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $37.15	Professional		$12.02	$19.50	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $18.62	Facility		$6.76	$12.02	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $18.62	Professional		$7.76	$11.22	$18.62