Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.27 / $136.43 / $241.03	Facility		$52.27	$136.43	$241.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.58 / $52.27 / $94.32	Professional		$41.58	$52.27	$94.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.70 / $70.56 / $115.63	Facility		$57.70	$70.56	$115.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $32.93 / $89.13	Professional		$26.14	$32.93	$89.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $41.16 / $41.16	Facility		$41.16	$41.16	$41.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $75.14 / $98.01	Facility		$65.34	$75.14	$98.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $84.94 / $142.85	Professional		$65.34	$84.94	$142.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $82.39 / $372.89	Facility		$67.23	$82.39	$372.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.19 / $141.97	Professional		$27.44	$35.19	$141.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.23 / $95.19 / $372.89	Facility		$67.23	$95.19	$372.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $35.19 / $141.97	Professional		$27.44	$35.19	$141.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.46 / $58.81 / $80.86	Professional		$51.46	$58.81	$80.86
United Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Facility		$65.34	$65.34	$65.34
United Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $39.20 / $86.29	Professional		$25.01	$39.20	$86.29