Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $37.45 / $119.03	Facility		$15.93	$37.45	$119.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $14.70 / $35.26	Professional		$9.85	$14.70	$35.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.90 / $18.55 / $29.85	Facility		$14.90	$18.55	$29.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.33 / $18.21	Professional		$7.08	$8.33	$18.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $16.87 / $22.77	Facility		$11.25	$16.87	$22.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $21.93 / $22.77	Professional		$14.34	$21.93	$22.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $17.38 / $108.52	Facility		$10.97	$17.38	$108.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $13.54 / $24.55	Professional		$8.59	$13.54	$24.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.97 / $17.66 / $113.78	Facility		$10.97	$17.66	$113.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.08 / $22.65	Professional		$8.59	$11.08	$22.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $13.91 / $20.23	Professional		$12.65	$13.91	$20.23
United Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $10.34 / $25.61	Professional		$7.09	$10.34	$25.61