Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.98 / $16.64 / $47.00	Facility		$6.98	$16.64	$47.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.68 / $15.84 / $21.88	Professional		$15.68	$15.84	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $36.71 / $101.99	Facility		$23.54	$36.71	$101.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $26.45	Professional		$15.69	$15.69	$26.45
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $21.02 / $21.02	Facility		$21.02	$21.02	$21.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.69 / $15.69 / $23.69	Facility		$15.69	$15.69	$23.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $21.18	Professional		$15.69	$15.69	$21.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.81 / $14.81 / $15.69	Facility		$14.81	$14.81	$15.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $15.69 / $15.69	Professional		$10.27	$15.69	$15.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.17 / $9.96 / $29.02	Facility		$3.17	$9.96	$29.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.68 / $15.69 / $15.69	Professional		$7.68	$15.69	$15.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $14.70 / $22.75	Professional		$11.15	$14.70	$22.75
United Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $15.69 / $16.80	Professional		$15.69	$15.69	$16.80