Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $241.09 / $467.50	Facility		$73.20	$241.09	$467.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $67.48 / $176.21	Professional		$52.29	$67.48	$176.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.71 / $70.59 / $115.67	Facility		$57.71	$70.59	$115.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $40.67 / $104.60	Professional		$32.28	$40.67	$104.60
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $41.18 / $41.18	Facility		$41.18	$41.18	$41.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $75.16 / $98.04	Facility		$65.36	$75.16	$98.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $84.97 / $142.85	Professional		$65.36	$84.97	$142.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.25 / $95.19 / $542.38	Facility		$67.25	$95.19	$542.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $50.26 / $158.44	Professional		$33.19	$50.26	$158.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $95.19 / $542.38	Facility		$58.33	$95.19	$542.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $41.18 / $158.44	Professional		$33.19	$41.18	$158.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $58.82 / $80.88	Professional		$51.47	$58.82	$80.88
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $39.22 / $89.17	Professional		$27.45	$39.22	$89.17