Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $60.26 / $85.11	Facility		$25.12	$60.26	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $28.18 / $69.18	Professional		$21.88	$28.18	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $31.62 / $54.95	Facility		$27.54	$31.62	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.20 / $38.90	Professional		$14.79	$18.20	$38.90
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $34.67	Facility		$20.42	$20.42	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $100.00	Facility		$19.50	$19.50	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $42.66	Professional		$15.14	$19.50	$42.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.11 / $100.00	Facility		$19.50	$33.11	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.50 / $41.69	Professional		$15.14	$19.50	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $24.55 / $37.15	Professional		$19.95	$24.55	$37.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $69.18	Professional		$19.50	$31.62	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $20.42 / $29.51	Facility		$10.72	$20.42	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $35.48	Professional		$12.59	$17.78	$35.48