Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $37.45 / $60.41	Facility		$15.69	$37.45	$60.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $15.29 / $16.67	Professional		$10.39	$15.29	$16.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.32 / $21.57 / $34.70	Facility		$17.32	$21.57	$34.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.33 / $20.91	Professional		$7.08	$8.33	$20.91
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $15.69	Professional		$15.69	$15.69	$15.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $19.61 / $26.47	Facility		$13.25	$19.61	$26.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $25.49 / $26.47	Professional		$16.67	$25.49	$26.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $20.20 / $66.94	Facility		$12.75	$20.20	$66.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $13.54 / $28.39	Professional		$8.92	$13.54	$28.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $20.20 / $75.56	Facility		$11.03	$20.20	$75.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $12.75 / $28.27	Professional		$8.92	$12.75	$28.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $16.18 / $23.53	Professional		$14.71	$16.18	$23.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $11.77 / $31.63	Professional		$8.24	$11.77	$31.63