Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $141.25	Facility		$14.13	$27.54	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $40.74	Professional		$12.02	$15.14	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $30.20	Facility		$15.14	$17.38	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $9.77 / $20.89	Professional		$8.13	$9.77	$20.89
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $18.62	Facility		$11.22	$11.22	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $34.67	Facility		$10.72	$10.72	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $23.99	Professional		$8.32	$10.47	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.38 / $158.49	Facility		$10.72	$21.38	$158.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $22.91	Professional		$8.32	$10.47	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $20.42	Professional		$10.96	$13.49	$20.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.98 / $38.02	Professional		$10.72	$16.98	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $11.22 / $16.22	Facility		$5.89	$11.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.13 / $19.50	Professional		$5.50	$8.13	$19.50