Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $171.84 / $473.40	Facility		$73.56	$171.84	$473.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.87 / $52.61 / $121.58	Professional		$46.87	$52.61	$121.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $70.95 / $116.25	Facility		$58.00	$70.95	$116.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $32.85 / $88.17	Professional		$26.28	$32.85	$88.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $41.38	Facility		$41.38	$41.38	$41.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $75.54 / $98.54	Facility		$65.69	$75.54	$98.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $85.40 / $143.57	Professional		$65.69	$85.40	$143.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $89.04 / $374.91	Facility		$67.59	$89.04	$374.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $37.83 / $142.75	Professional		$30.05	$37.83	$142.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $111.02 / $380.42	Facility		$67.59	$111.02	$380.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $35.36 / $142.75	Professional		$30.05	$35.36	$142.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $59.12 / $81.29	Professional		$51.73	$59.12	$81.29
United Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $39.40 / $86.76	Professional		$27.59	$39.40	$86.76