Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.99 / $47.68 / $70.26	Facility		$20.99	$47.68	$70.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $20.54 / $32.93	Professional		$18.25	$20.54	$32.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.14 / $25.09 / $40.36	Facility		$20.14	$25.09	$40.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $24.63	Professional		$11.26	$11.26	$24.63
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $14.37 / $14.37	Facility		$14.37	$14.37	$14.37
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $18.25 / $18.25	Professional		$18.25	$18.25	$18.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $22.81 / $30.79	Facility		$15.56	$22.81	$30.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $29.65 / $30.79	Professional		$19.39	$29.65	$30.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $23.49 / $76.43	Facility		$14.83	$23.49	$76.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.30 / $33.20	Professional		$11.56	$18.30	$33.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $23.49 / $86.47	Facility		$14.83	$23.49	$86.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.56 / $18.32 / $38.26	Professional		$11.56	$18.32	$38.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.11 / $18.82 / $27.37	Professional		$17.11	$18.82	$27.37
United Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $13.96 / $31.89	Professional		$9.58	$13.96	$31.89