Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.84 / $135.00 / $666.00	Facility		$53.84	$135.00	$666.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $70.00 / $98.89	Professional		$28.52	$70.00	$98.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $61.60 / $100.94	Facility		$50.37	$61.60	$100.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $29.66 / $91.30	Professional		$22.82	$29.66	$91.30
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $35.94 / $35.94 / $35.94	Facility		$35.94	$35.94	$35.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $65.59 / $85.56	Facility		$57.04	$65.59	$85.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $74.15 / $124.46	Professional		$57.04	$74.15	$124.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $83.10 / $986.65	Facility		$58.70	$83.10	$986.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $39.84 / $123.93	Professional		$26.09	$39.84	$123.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $83.10 / $384.60	Facility		$58.70	$83.10	$384.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $39.84 / $123.93	Professional		$26.09	$39.84	$123.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $44.91 / $51.33 / $70.58	Professional		$44.91	$51.33	$70.58
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.22 / $75.33	Professional		$23.96	$34.22	$75.33