Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.80 / $14.80 / $49.87	Facility		$14.80	$14.80	$49.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $14.80 / $19.03	Professional		$12.97	$14.80	$19.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $30.32 / $78.55	Facility		$25.88	$30.32	$78.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $14.56 / $36.36	Professional		$13.45	$14.56	$36.36
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $23.43 / $23.43	Professional		$23.43	$23.43	$23.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.67 / $27.56 / $37.21	Facility		$20.67	$27.56	$37.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $24.94 / $59.01	Professional		$18.01	$24.94	$59.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $32.47	Facility		$18.45	$18.45	$32.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $13.47 / $22.91	Professional		$13.47	$13.47	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.45 / $18.45 / $18.45	Facility		$18.45	$18.45	$18.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $18.45 / $18.45	Professional		$13.47	$18.45	$18.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.27 / $14.78	Professional		$8.19	$11.27	$14.78
United Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $13.14 / $18.48	Professional		$9.08	$13.14	$18.48