Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $33.70 / $56.11	Facility		$13.48	$33.70	$56.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.48 / $45.42	Professional		$8.42	$13.48	$45.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $18.54 / $29.82	Facility		$14.88	$18.54	$29.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $7.16 / $16.85	Professional		$7.16	$7.16	$16.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $10.62 / $10.62	Facility		$10.62	$10.62	$10.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $17.69 / $22.75	Facility		$12.64	$17.69	$22.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $16.85 / $27.76	Professional		$10.95	$16.85	$27.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $35.47	Facility		$10.95	$17.34	$35.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.64 / $24.26	Professional		$7.76	$11.64	$24.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $17.34 / $64.77	Facility		$10.95	$17.34	$64.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.95 / $30.83	Professional		$7.76	$10.95	$30.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $13.90 / $20.22	Professional		$12.64	$13.90	$20.22
United Facility/Professional Facility Modifier Low / Median / High Price $20.22 / $20.22 / $20.22	Facility		$20.22	$20.22	$20.22
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.11 / $22.04	Professional		$7.08	$10.11	$22.04