Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $52.16 / $123.88	Facility		$18.27	$52.16	$123.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.48 / $16.87 / $52.16	Professional		$15.48	$16.87	$52.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $21.29 / $34.24	Facility		$17.09	$21.29	$34.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $9.56 / $20.89	Professional		$9.56	$9.56	$20.89
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Facility		$12.19	$12.19	$12.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.53 / $19.35 / $26.12	Facility		$15.53	$19.35	$26.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $25.16 / $26.12	Professional		$16.45	$25.16	$26.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $19.93 / $67.23	Facility		$12.58	$19.93	$67.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $15.54 / $28.18	Professional		$9.91	$15.54	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $19.93 / $73.40	Facility		$12.58	$19.93	$73.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $12.58 / $25.99	Professional		$9.91	$12.58	$25.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $15.96 / $23.21	Professional		$14.51	$15.96	$23.21
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.87 / $29.38	Professional		$8.13	$11.87	$29.38