Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $63.29 / $119.13	Facility		$19.50	$63.29	$119.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $20.93 / $60.19	Professional		$15.35	$20.93	$60.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $26.81 / $43.13	Facility		$21.52	$26.81	$43.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $26.31	Professional		$12.04	$12.04	$26.31
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.35 / $15.35 / $15.35	Facility		$15.35	$15.35	$15.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $24.37 / $32.90	Facility		$19.55	$24.37	$32.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $31.68 / $32.90	Professional		$20.71	$31.68	$32.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $25.09 / $141.52	Facility		$15.84	$25.09	$141.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $19.55 / $35.47	Professional		$12.38	$19.55	$35.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.84 / $25.09 / $141.52	Facility		$15.84	$25.09	$141.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $19.57 / $40.86	Professional		$12.38	$19.57	$40.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.28 / $21.93 / $30.16	Professional		$18.28	$21.93	$30.16
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.62 / $34.04	Professional		$10.24	$14.62	$34.04