Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $72.52 / $142.27	Facility		$30.86	$72.52	$142.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.44 / $30.86 / $55.69	Professional		$20.44	$30.86	$55.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.06 / $42.43 / $68.26	Facility		$34.06	$42.43	$68.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $15.43 / $38.57	Professional		$15.43	$15.43	$38.57
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $24.30 / $24.30 / $24.30	Facility		$24.30	$24.30	$24.30
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $30.86 / $30.86	Professional		$30.86	$30.86	$30.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $38.57 / $52.07	Facility		$21.19	$38.57	$52.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $50.14 / $52.07	Professional		$32.78	$50.14	$52.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $39.71 / $149.79	Facility		$25.07	$39.71	$149.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $44.19 / $55.24	Professional		$25.07	$44.19	$55.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $43.87 / $375.76	Facility		$25.07	$43.87	$375.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $17.96 / $25.07	Professional		$17.96	$17.96	$25.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $34.71 / $47.73	Professional		$28.93	$34.71	$47.73
United Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $38.57 / $38.57	Facility		$9.40	$38.57	$38.57
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $50.94	Professional		$16.20	$23.14	$50.94