Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $32.54 / $97.35	Facility		$18.77	$32.54	$97.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $21.75 / $29.59	Professional		$17.48	$21.75	$29.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.00 / $26.00 / $29.00	Facility		$26.00	$26.00	$29.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.97 / $19.91 / $37.40	Professional		$15.97	$19.91	$37.40
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $20.59 / $20.59 / $20.59	Facility		$20.59	$20.59	$20.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $35.29 / $43.70	Facility		$28.76	$35.29	$43.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.72 / $41.19	Professional		$32.36	$33.72	$41.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $65.00 / $140.00	Facility		$36.03	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $43.01 / $111.17	Professional		$26.09	$43.01	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.03 / $86.36 / $128.00	Facility		$36.03	$86.36	$128.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $37.71 / $52.07	Professional		$26.09	$37.71	$52.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $39.25 / $39.25	Professional		$39.25	$39.25	$39.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $28.83 / $39.78	Professional		$20.95	$28.83	$39.78