Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $34.88 / $95.68	Facility		$15.30	$34.88	$95.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.76 / $38.25	Professional		$15.30	$15.76	$38.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.95 / $35.79 / $99.45	Facility		$22.95	$35.79	$99.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $25.79	Professional		$15.30	$15.30	$25.79
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $20.50 / $20.50 / $20.50	Facility		$20.50	$20.50	$20.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $15.30 / $26.01	Facility		$15.30	$15.30	$26.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $20.66	Professional		$15.30	$15.30	$20.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.43 / $14.43 / $15.30	Facility		$14.43	$14.43	$15.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $43.00	Professional		$15.30	$15.30	$43.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.46 / $14.43 / $15.30	Facility		$9.46	$14.43	$15.30
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $43.00	Professional		$15.30	$15.30	$43.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.42 / $24.86	Professional		$18.62	$21.42	$24.86
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $20.04	Professional		$15.30	$15.30	$20.04