Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $40.92 / $127.45	Facility		$15.80	$40.92	$127.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.80 / $18.76	Professional		$10.47	$15.80	$18.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.44 / $21.73 / $34.95	Facility		$17.44	$21.73	$34.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $21.33	Professional		$8.92	$8.92	$21.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Professional		$15.80	$15.80	$15.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $19.75 / $26.66	Facility		$13.22	$19.75	$26.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $25.68 / $26.66	Professional		$16.79	$25.68	$26.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $20.34 / $75.59	Facility		$12.84	$20.34	$75.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $14.49 / $28.39	Professional		$9.25	$14.49	$28.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.84 / $20.34 / $76.93	Facility		$12.84	$20.34	$76.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $11.83 / $24.26	Professional		$9.25	$11.83	$24.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.81 / $16.29 / $23.69	Professional		$14.81	$16.29	$23.69
United Facility/Professional Facility Modifier Low / Median / High Price $23.70 / $23.70 / $23.70	Facility		$23.70	$23.70	$23.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $12.00 / $31.86	Professional		$8.30	$12.00	$31.86