Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $33.86 / $11,663.38	Facility		$15.61	$33.86	$11,663.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.77 / $40.32	Professional		$15.61	$15.77	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $27.26 / $44.80	Facility		$16.86	$27.26	$44.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $27.03	Professional		$15.61	$15.61	$27.03
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $20.92 / $20.92 / $20.92	Facility		$20.92	$20.92	$20.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.61 / $15.61 / $26.54	Facility		$15.61	$15.61	$26.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $21.07	Professional		$15.61	$15.61	$21.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $14.73 / $15.61	Facility		$14.73	$14.73	$15.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $28.56	Professional		$15.61	$15.61	$28.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $26.69 / $38.13	Facility		$10.10	$26.69	$38.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $28.56	Professional		$15.61	$15.61	$28.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $19.51 / $22.57	Professional		$17.12	$19.51	$22.57
United Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $20.45	Professional		$15.61	$15.61	$20.45