Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.35 / $45.48 / $67.05	Facility		$22.35	$45.48	$67.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.96 / $25.34	Professional		$19.00	$24.96	$25.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.67 / $30.73 / $49.45	Facility		$24.67	$30.73	$49.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $27.94	Professional		$11.18	$11.18	$27.94
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $22.35 / $22.35	Professional		$22.35	$22.35	$22.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $27.94 / $37.72	Facility		$20.42	$27.94	$37.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.75 / $36.32 / $37.72	Professional		$23.75	$36.32	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $28.77 / $107.98	Facility		$18.16	$28.77	$107.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $13.23 / $39.75	Professional		$12.62	$13.23	$39.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.16 / $28.77 / $107.98	Facility		$18.16	$28.77	$107.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $14.01 / $29.33	Professional		$12.62	$14.01	$29.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $26.20 / $34.58	Professional		$20.96	$26.20	$34.58
United Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.76 / $36.60	Professional		$11.73	$16.76	$36.60