Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $19.32 / $19.32	Facility		$19.32	$19.32	$19.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.32 / $19.35 / $27.42	Professional		$19.32	$19.35	$27.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $45.25 / $72.40	Facility		$32.83	$45.25	$72.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.85 / $28.33 / $57.39	Professional		$25.85	$28.33	$57.39
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $40.57 / $40.57 / $42.51	Professional		$40.57	$40.57	$42.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.48 / $27.15 / $42.51	Facility		$3.48	$27.15	$42.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.08 / $26.66 / $52.47	Professional		$3.08	$26.66	$52.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $41.07	Facility		$23.28	$23.28	$41.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.28 / $40.50	Professional		$19.79	$23.28	$40.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $30.56	Facility		$23.28	$23.28	$30.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.28 / $27.37	Professional		$19.79	$23.28	$27.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.30 / $30.38 / $43.81	Professional		$24.30	$30.38	$43.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $18.57 / $26.98	Professional		$12.21	$18.57	$26.98