Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $93.96 / $335.70	Facility		$35.46	$93.96	$335.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $20.86 / $70.29	Professional		$13.03	$20.86	$70.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $28.68 / $46.14	Facility		$23.02	$28.68	$46.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $10.43 / $28.15	Professional		$10.43	$10.43	$28.15
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $16.42 / $16.42 / $16.42	Facility		$16.42	$16.42	$16.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $27.37 / $35.19	Facility		$19.55	$27.37	$35.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.95 / $26.26 / $42.94	Professional		$16.95	$26.26	$42.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $26.85 / $64.81	Facility		$16.95	$26.85	$64.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $19.43 / $37.69	Professional		$11.89	$19.43	$37.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $82.82 / $216.89	Facility		$26.83	$82.82	$216.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $16.95 / $32.44	Professional		$11.89	$16.95	$32.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $21.50 / $31.28	Professional		$19.55	$21.50	$31.28
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $15.64 / $31.28	Professional		$10.95	$15.64	$31.28