Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $23.31 / $77.76	Facility		$9.46	$23.31	$77.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $11.19 / $20.70	Professional		$9.53	$11.19	$20.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $26.18 / $72.73	Facility		$16.79	$26.18	$72.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $19.37	Professional		$11.19	$11.19	$19.37
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $14.99 / $14.99 / $14.99	Facility		$14.99	$14.99	$14.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.44 / $11.19 / $15.91	Facility		$9.44	$11.19	$15.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $11.19 / $15.11	Professional		$9.44	$11.19	$15.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $10.55 / $11.19	Facility		$10.55	$10.55	$11.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $25.03	Professional		$11.19	$11.19	$25.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $25.70 / $73.83	Facility		$10.00	$25.70	$73.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $11.19 / $25.03	Professional		$8.00	$11.19	$25.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $13.70 / $17.26	Professional		$11.81	$13.70	$17.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $11.19 / $14.57	Professional		$11.19	$11.19	$14.57