Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $162.18 / $354.81	Facility		$69.18	$162.18	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $162.18	Professional		$47.86	$60.26	$162.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $77.62 / $134.90	Facility		$67.61	$77.62	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $95.50	Professional		$30.20	$38.02	$95.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $102.33	Facility		$58.88	$85.11	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $100.00	Professional		$74.13	$87.10	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $251.19	Facility		$47.86	$47.86	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $66.07 / $147.91	Professional		$33.88	$66.07	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $93.33 / $281.84	Facility		$47.86	$93.33	$281.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $165.96	Professional		$33.88	$39.81	$165.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $91.20	Professional		$54.95	$66.07	$91.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $169.82	Professional		$61.66	$81.28	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $66.07 / $74.13	Facility		$26.30	$66.07	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $85.11	Professional		$30.90	$43.65	$85.11