Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $77.62 / $309.03	Facility		$18.62	$77.62	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $30.20 / $91.20	Professional		$7.94	$30.20	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $39.81 / $69.18	Facility		$34.67	$39.81	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.03 / $38.90	Professional		$4.79	$6.03	$38.90
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $43.65	Facility		$12.02	$12.02	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $24.55 / $69.18	Facility		$9.33	$24.55	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $46.77	Professional		$17.38	$22.91	$46.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $12.30 / $79.43	Facility		$10.72	$12.30	$79.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $17.38 / $46.77	Professional		$7.76	$17.38	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.90 / $45.71	Professional		$28.18	$30.90	$45.71
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $75.86	Professional		$24.55	$39.81	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $24.55 / $38.02	Facility		$13.49	$24.55	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $22.91	Professional		$5.01	$7.24	$22.91