Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $84.71 / $105.89	Facility		$30.80	$84.71	$105.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $26.10 / $80.56	Professional		$17.28	$26.10	$80.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.80 / $35.88 / $57.73	Facility		$28.80	$35.88	$57.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $16.11 / $35.22	Professional		$16.11	$16.11	$35.22
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $20.55 / $20.55	Facility		$20.55	$20.55	$20.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $26.10 / $26.10	Professional		$26.10	$26.10	$26.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $32.61 / $44.04	Facility		$21.76	$32.61	$44.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.73 / $42.41 / $44.04	Professional		$27.73	$42.41	$44.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $33.58 / $121.78	Facility		$21.20	$33.58	$121.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $32.49 / $55.04	Professional		$16.51	$32.49	$55.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $33.58 / $125.52	Facility		$21.20	$33.58	$125.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $32.10 / $54.67	Professional		$16.51	$32.10	$54.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $26.91 / $39.15	Professional		$24.47	$26.91	$39.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $19.57 / $45.56	Professional		$13.70	$19.57	$45.56