Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.86 / $97.60 / $141.91	Facility		$36.86	$97.60	$141.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $36.86 / $51.61	Professional		$36.86	$36.86	$51.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $50.68 / $81.53	Facility		$40.68	$50.68	$81.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $22.75 / $49.75	Professional		$22.75	$22.75	$49.75
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $29.02 / $29.02 / $29.02	Facility		$29.02	$29.02	$29.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.73 / $46.07 / $62.19	Facility		$30.73	$46.07	$62.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.15 / $59.89 / $62.19	Professional		$39.15	$59.89	$62.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $47.44 / $172.04	Facility		$29.95	$47.44	$172.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $36.97 / $67.06	Professional		$23.45	$36.97	$67.06
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.95 / $47.44 / $174.67	Facility		$29.95	$47.44	$174.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $29.95 / $61.19	Professional		$23.45	$29.95	$61.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $38.00 / $55.28	Professional		$34.54	$38.00	$55.28
United Facility/Professional Facility Modifier Low / Median / High Price $55.28 / $55.28 / $55.28	Facility		$55.28	$55.28	$55.28
United Facility/Professional Professional Modifier Low / Median / High Price $19.35 / $27.64 / $64.38	Professional		$19.35	$27.64	$64.38