Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $18.75 / $333.31	Facility		$8.53	$18.75	$333.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $8.63 / $12.38	Professional		$8.52	$8.63	$12.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $13.75 / $24.34	Facility		$9.22	$13.75	$24.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $16.72	Professional		$8.53	$8.53	$16.72
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $11.44 / $11.44 / $11.44	Facility		$11.44	$11.44	$11.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $14.52	Facility		$8.53	$8.53	$14.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $11.53	Professional		$8.53	$8.53	$11.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $8.06 / $8.53	Facility		$8.06	$8.06	$8.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $31.31	Professional		$8.53	$8.53	$31.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $8.53 / $34.79	Facility		$8.06	$8.53	$34.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $8.53 / $31.31	Professional		$8.53	$8.53	$31.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $9.91 / $11.95	Professional		$8.44	$9.91	$11.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.53 / $8.53 / $8.53	Facility		$8.53	$8.53	$8.53
United Facility/Professional Professional Modifier Low / Median / High Price $8.53 / $9.51 / $10.58	Professional		$8.53	$9.51	$10.58