Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.90 / $21.47 / $749.00	Facility		$6.90	$21.47	$749.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $12.06 / $27.00	Professional		$11.00	$12.06	$27.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.09 / $28.22 / $78.39	Facility		$18.09	$28.22	$78.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $20.88	Professional		$12.06	$12.06	$20.88
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $16.16 / $16.16	Facility		$16.16	$16.16	$16.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.79 / $12.06 / $17.48	Facility		$10.79	$12.06	$17.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $12.06 / $16.28	Professional		$10.79	$12.06	$16.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.37 / $11.37 / $12.05	Facility		$11.37	$11.37	$12.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $30.52	Professional		$12.05	$12.05	$30.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.81 / $12.05 / $42.03	Facility		$10.81	$12.05	$42.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $12.05 / $30.52	Professional		$12.05	$12.05	$30.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $13.74 / $16.88	Professional		$11.86	$13.74	$16.88
United Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $11.98 / $11.98	Facility		$11.98	$11.98	$11.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $12.06 / $15.70	Professional		$12.06	$12.06	$15.70