Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.37 / $38.47 / $63.02	Facility		$16.37	$38.47	$63.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.37 / $55.16	Professional		$10.23	$16.37	$55.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $22.51 / $36.21	Facility		$18.07	$22.51	$36.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $8.18 / $20.46	Professional		$7.52	$8.18	$20.46
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $12.89	Facility		$12.89	$12.89	$12.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.58 / $20.46 / $27.62	Facility		$13.58	$20.46	$27.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $26.60 / $27.62	Professional		$17.39	$26.60	$27.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $21.07 / $43.09	Facility		$10.08	$21.07	$43.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $9.53 / $29.43	Professional		$5.68	$9.53	$29.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.08 / $21.07 / $69.83	Facility		$10.08	$21.07	$69.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $9.41 / $13.30	Professional		$5.68	$9.41	$13.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $18.42 / $25.32	Professional		$15.35	$18.42	$25.32
United Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $9.21 / $26.80	Professional		$5.33	$9.21	$26.80