Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $44.85 / $74.75	Facility		$16.16	$44.85	$74.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $16.16 / $20.20	Professional		$16.16	$16.16	$20.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.84 / $22.22 / $35.75	Facility		$17.84	$22.22	$35.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.98 / $9.98 / $21.81	Professional		$9.98	$9.98	$21.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $12.73 / $12.73	Facility		$12.73	$12.73	$12.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.40 / $20.20 / $27.27	Facility		$15.40	$20.20	$27.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.17 / $26.26 / $27.27	Professional		$17.17	$26.26	$27.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $20.80 / $84.55	Facility		$13.13	$20.80	$84.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $16.21 / $29.41	Professional		$10.24	$16.21	$29.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $20.80 / $84.55	Facility		$13.13	$20.80	$84.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.25 / $37.81	Professional		$10.24	$13.25	$37.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $16.66 / $24.24	Professional		$15.15	$16.66	$24.24
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.12 / $28.22	Professional		$8.48	$12.12	$28.22