Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.28 / $82.93 / $186.69	Facility		$32.28	$82.93	$186.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $28.07 / $94.59	Professional		$24.82	$28.07	$94.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.98 / $37.90 / $62.10	Facility		$30.98	$37.90	$62.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.66 / $50.53	Professional		$17.32	$21.66	$50.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $22.11 / $22.11 / $22.11	Facility		$22.11	$22.11	$22.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $43.86 / $52.64	Facility		$35.09	$43.86	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $47.37 / $84.22	Professional		$45.62	$47.37	$84.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $44.25 / $268.70	Facility		$36.11	$44.25	$268.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.32 / $50.87 / $236.59	Facility		$31.32	$50.87	$236.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $83.38	Professional		$17.82	$31.72	$83.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $31.58 / $43.42	Professional		$27.63	$31.58	$43.42
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $56.60	Professional		$14.74	$21.05	$56.60