Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.22 / $112.28 / $239.55	Facility		$62.22	$112.28	$239.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $62.22 / $116.67	Professional		$49.00	$62.22	$116.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.68 / $85.56 / $137.65	Facility		$68.68	$85.56	$137.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $31.11 / $77.78	Professional		$31.11	$31.11	$77.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $62.22 / $62.22 / $62.22	Professional		$62.22	$62.22	$62.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.35 / $77.78 / $105.00	Facility		$55.35	$77.78	$105.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $101.11 / $105.00	Professional		$66.11	$101.11	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $80.09 / $163.81	Facility		$42.14	$80.09	$163.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $40.25 / $111.51	Professional		$23.97	$40.25	$111.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.14 / $80.09 / $265.44	Facility		$42.14	$80.09	$265.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $35.65 / $70.78	Professional		$23.97	$35.65	$70.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $64.17 / $93.34	Professional		$42.78	$64.17	$93.34
United Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $33.04 / $93.34	Professional		$22.29	$33.04	$93.34