Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.69 / $63.95 / $161.96	Facility		$24.69	$63.95	$161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $22.48 / $29.13	Professional		$15.42	$22.48	$29.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.25 / $33.95 / $54.61	Facility		$27.25	$33.95	$54.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.42 / $12.34 / $30.86	Professional		$9.42	$12.34	$30.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $19.44 / $19.44	Facility		$19.44	$19.44	$19.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.68 / $30.86 / $41.66	Facility		$20.68	$30.86	$41.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.23 / $40.11 / $41.66	Professional		$26.23	$40.11	$41.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $31.78 / $105.32	Facility		$20.05	$31.78	$105.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $20.05 / $44.40	Professional		$14.20	$20.05	$44.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $38.45 / $176.13	Facility		$20.05	$38.45	$176.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.20 / $18.43 / $30.81	Professional		$14.20	$18.43	$30.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.97 / $25.46 / $37.04	Professional		$16.97	$25.46	$37.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $18.52 / $37.03	Professional		$12.96	$18.52	$37.03