Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.82 / $114.04 / $305.30	Facility		$60.82	$114.04	$305.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $31.82 / $106.44	Professional		$27.95	$31.82	$106.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.90 / $40.25 / $65.95	Facility		$32.90	$40.25	$65.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $21.66 / $52.17	Professional		$17.32	$21.66	$52.17
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $23.48 / $23.48 / $23.48	Facility		$23.48	$23.48	$23.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $42.86 / $55.91	Facility		$37.27	$42.86	$55.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.27 / $48.45 / $81.34	Professional		$37.27	$48.45	$81.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $54.39 / $212.74	Facility		$38.36	$54.39	$212.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $33.60 / $73.69	Professional		$17.82	$33.60	$73.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $84.72 / $212.74	Facility		$38.38	$84.72	$212.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $37.27 / $84.71	Professional		$17.82	$37.27	$84.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $33.54 / $46.11	Professional		$27.95	$33.54	$46.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $50.27	Professional		$15.65	$22.36	$50.27