Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $92.66 / $197.70	Facility		$51.35	$92.66	$197.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $51.35 / $65.90	Professional		$51.35	$51.35	$65.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.68 / $70.61 / $113.60	Facility		$56.68	$70.61	$113.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.68 / $25.68 / $64.19	Professional		$25.68	$25.68	$64.19
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $51.35 / $51.35	Professional		$51.35	$51.35	$51.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $64.19 / $86.66	Facility		$45.26	$64.19	$86.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $83.45 / $86.66	Professional		$54.56	$83.45	$86.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $66.08 / $219.03	Facility		$41.72	$66.08	$219.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $33.47 / $91.89	Professional		$18.92	$33.47	$91.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.60 / $66.08 / $248.32	Facility		$31.60	$66.08	$248.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.92 / $29.39 / $41.72	Professional		$18.92	$29.39	$41.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $52.95 / $77.02	Professional		$48.14	$52.95	$77.02
United Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $23.11 / $57.77	Facility		$23.11	$23.11	$57.77
United Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $35.29 / $77.03	Professional		$17.14	$35.29	$77.03