Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.71 / $118.36 / $172.13	Facility		$44.71	$118.36	$172.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $44.71 / $80.68	Professional		$44.71	$44.71	$80.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $61.48 / $98.91	Facility		$49.35	$61.48	$98.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $27.60 / $60.36	Professional		$27.60	$27.60	$60.36
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $35.21 / $35.21 / $35.21	Facility		$35.21	$35.21	$35.21
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $44.71 / $44.71 / $65.28	Professional		$44.71	$44.71	$65.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $55.89 / $75.45	Facility		$37.28	$55.89	$75.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $72.66 / $75.45	Professional		$47.51	$72.66	$75.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $57.55 / $211.89	Facility		$36.33	$57.55	$211.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $40.70 / $81.34	Professional		$25.86	$40.70	$81.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.02 / $57.55 / $215.91	Facility		$36.02	$57.55	$215.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $29.22 / $73.97	Professional		$25.58	$29.22	$73.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $46.11 / $67.07	Professional		$41.92	$46.11	$67.07
United Facility/Professional Professional Modifier Low / Median / High Price $23.47 / $33.53 / $78.08	Professional		$23.47	$33.53	$78.08