Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.28 / $16.28 / $41.00	Facility		$16.28	$16.28	$41.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.46 / $16.28 / $21.98	Professional		$12.46	$16.28	$21.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $12.86 / $33.34	Professional		$10.93	$12.86	$33.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $25.65 / $25.65 / $25.65	Professional		$25.65	$25.65	$25.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.17 / $25.65 / $34.63	Facility		$19.17	$25.65	$34.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $25.65 / $54.92	Professional		$16.67	$25.65	$54.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $15.42 / $30.06	Facility		$14.83	$15.42	$30.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $19.05	Professional		$13.11	$13.11	$19.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $15.42 / $15.42	Facility		$14.83	$15.42	$15.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $15.42 / $15.42	Professional		$13.11	$15.42	$15.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.01 / $19.27 / $25.26	Professional		$14.01	$19.27	$25.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.74 / $16.38	Professional		$8.19	$11.74	$16.38