Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $31.07 / $8,132.00	Facility		$12.28	$31.07	$8,132.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $12.28 / $15.98	Professional		$12.23	$12.28	$15.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.26 / $21.06 / $35.00	Facility		$13.26	$21.06	$35.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.02 / $21.02	Professional		$12.28	$14.02	$21.02
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $12.28	Professional		$12.28	$12.28	$12.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $12.28 / $18.54	Facility		$12.28	$12.28	$18.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $16.57	Professional		$12.28	$12.28	$16.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.59 / $12.28 / $24.67	Facility		$11.59	$12.28	$24.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $20.37	Professional		$12.28	$12.28	$20.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $24.67 / $63.28	Facility		$12.28	$24.67	$63.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $31.20	Professional		$12.28	$12.28	$31.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $14.98 / $18.46	Professional		$12.28	$14.98	$18.46
United Facility/Professional Professional Modifier Low / Median / High Price $12.28 / $12.28 / $15.22	Professional		$12.28	$12.28	$15.22