Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.43 / $44.05 / $199.48	Facility		$13.43	$44.05	$199.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.70 / $32.47	Professional		$11.36	$11.70	$32.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $26.58 / $73.84	Facility		$17.04	$26.58	$73.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $22.66	Professional		$11.36	$11.36	$22.66
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $15.22 / $15.22	Facility		$15.22	$15.22	$15.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.36 / $11.68 / $17.51	Facility		$11.36	$11.68	$17.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.68 / $15.34	Professional		$11.36	$11.68	$15.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $11.36	Facility		$10.72	$10.72	$11.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $56.17	Professional		$11.36	$11.36	$56.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.39 / $70.84 / $204.90	Facility		$19.39	$70.84	$204.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $56.17	Professional		$11.36	$11.36	$56.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $15.90 / $18.00	Professional		$12.84	$15.90	$18.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.36 / $11.36 / $14.88	Professional		$11.36	$11.36	$14.88