Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.37 / $43.30 / $443.71	Facility		$10.37	$43.30	$443.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $10.78 / $40.63	Professional		$9.86	$10.78	$40.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.07 / $64.09	Facility		$14.79	$23.07	$64.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $19.67	Professional		$9.86	$9.86	$19.67
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.21 / $13.21 / $13.21	Facility		$13.21	$13.21	$13.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.02 / $9.86 / $14.43	Facility		$9.02	$9.86	$14.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.02 / $9.86 / $13.31	Professional		$9.02	$9.86	$13.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $9.30 / $9.86	Facility		$9.30	$9.30	$9.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $75.11	Professional		$9.86	$9.86	$75.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $60.58 / $174.58	Facility		$25.02	$60.58	$174.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $75.11	Professional		$9.86	$9.86	$75.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $12.32 / $13.80	Professional		$10.09	$12.32	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $9.86 / $12.92	Professional		$9.86	$9.86	$12.92