Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Facility		$15.33	$15.33	$15.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.33 / $27.00	Professional		$15.00	$15.33	$27.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.04 / $35.89 / $57.42	Facility		$26.04	$35.89	$57.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.62 / $45.76	Professional		$20.51	$20.62	$45.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $29.24 / $31.09	Professional		$28.97	$29.24	$31.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.58 / $20.59 / $29.44	Facility		$2.58	$20.59	$29.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $19.01 / $36.06	Professional		$2.44	$19.01	$36.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $33.46	Facility		$18.77	$18.77	$33.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.77 / $33.38	Professional		$15.95	$18.77	$33.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $24.64	Facility		$18.77	$18.77	$24.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.77 / $22.57	Professional		$15.95	$18.77	$22.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $24.23 / $34.94	Professional		$19.38	$24.23	$34.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.17 / $20.62	Professional		$9.44	$14.17	$20.62