Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $82.20 / $179.48	Facility		$33.11	$82.20	$179.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $31.28 / $50.65	Professional		$28.07	$31.28	$50.65
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 / $40.35 / $52.64	Facility		$35.09	$40.35	$52.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $45.62 / $76.39	Professional		$35.09	$45.62	$76.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $44.25 / $200.27	Facility		$36.11	$44.25	$200.27
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 $36.11 / $63.80 / $136.32	Facility		$36.11	$63.80	$136.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $31.72 / $67.72	Professional		$17.82	$31.72	$67.72
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 Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $51.13	Professional		$14.74	$21.05	$51.13