Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $57.87 / $98.42	Facility		$20.86	$57.87	$98.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.86 / $23.23 / $31.17	Professional		$20.86	$23.23	$31.17
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 $12.87 / $12.87 / $28.15	Professional		$12.87	$12.87	$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 $19.52 / $26.07 / $35.19	Facility		$19.52	$26.07	$35.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.16 / $33.89 / $35.19	Professional		$22.16	$33.89	$35.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $26.85 / $103.86	Facility		$16.95	$26.85	$103.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $20.92 / $37.95	Professional		$13.21	$20.92	$37.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $26.85 / $103.86	Facility		$16.95	$26.85	$103.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $20.98 / $43.70	Professional		$13.21	$20.98	$43.70
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 / $36.42	Professional		$10.95	$15.64	$36.42