Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $54.79 / $156.37	Facility		$21.91	$54.79	$156.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.51 / $19.95 / $46.94	Professional		$18.51	$19.95	$46.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $30.13 / $48.47	Facility		$24.19	$30.13	$48.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.94 / $10.96 / $27.80	Professional		$10.94	$10.96	$27.80
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $17.26 / $17.26	Facility		$17.26	$17.26	$17.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.27 / $27.39 / $36.97	Facility		$18.27	$27.39	$36.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.28 / $35.61 / $36.97	Professional		$23.28	$35.61	$36.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $28.20 / $65.67	Facility		$17.80	$28.20	$65.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $17.80 / $39.75	Professional		$12.55	$17.80	$39.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $28.20 / $131.40	Facility		$17.80	$28.20	$131.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.55 / $14.34 / $27.01	Professional		$12.55	$14.34	$27.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $22.59 / $32.86	Professional		$20.54	$22.59	$32.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.43 / $35.88	Professional		$11.50	$16.43	$35.88