Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.32 / $37.42 / $64.83	Facility		$14.32	$37.42	$64.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $14.32 / $17.01	Professional		$9.49	$14.32	$17.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.81 / $19.69 / $31.68	Facility		$15.81	$19.69	$31.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $8.66 / $19.32	Professional		$8.66	$8.66	$19.32
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $11.28 / $11.28	Facility		$11.28	$11.28	$11.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.15 / $17.89 / $24.17	Facility		$12.15	$17.89	$24.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $23.27 / $24.17	Professional		$15.22	$23.27	$24.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $18.44 / $112.79	Facility		$11.64	$18.44	$112.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $14.07 / $25.81	Professional		$8.92	$14.07	$25.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.64 / $18.44 / $112.79	Facility		$11.64	$18.44	$112.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $11.52 / $23.52	Professional		$8.92	$11.52	$23.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $16.11 / $22.15	Professional		$13.43	$16.11	$22.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $10.74 / $24.47	Professional		$7.52	$10.74	$24.47