Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $45.50 / $73.84	Facility		$18.20	$45.50	$73.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.66 / $32.84	Professional		$18.20	$18.66	$32.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.09 / $24.57 / $40.26	Facility		$20.09	$24.57	$40.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $11.88 / $31.85	Professional		$9.90	$11.88	$31.85
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.33 / $14.33 / $14.33	Facility		$14.33	$14.33	$14.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.75 / $28.44 / $34.13	Facility		$22.75	$28.44	$34.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $30.71 / $54.60	Professional		$29.58	$30.71	$54.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $25.88 / $129.86	Facility		$22.40	$25.88	$129.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $19.82 / $44.25	Professional		$10.40	$19.82	$44.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.40 / $25.88 / $129.86	Facility		$22.40	$25.88	$129.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $19.82 / $47.29	Professional		$10.40	$19.82	$47.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.91 / $20.47 / $28.14	Professional		$17.91	$20.47	$28.14
United Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $8.19 / $20.48	Facility		$8.19	$8.19	$20.48
United Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $13.65 / $33.15	Professional		$9.56	$13.65	$33.15