Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $258.30 / $612.91	Facility		$53.12	$258.30	$612.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.27 / $40.70 / $158.50	Professional		$34.27	$40.70	$158.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.83 / $46.27 / $75.81	Facility		$37.83	$46.27	$75.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $25.38 / $62.54	Professional		$21.15	$25.38	$62.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $26.99	Facility		$26.99	$26.99	$26.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $49.27 / $64.26	Facility		$42.84	$49.27	$64.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $55.69 / $93.36	Professional		$42.84	$55.69	$93.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.09 / $54.03 / $336.36	Facility		$44.09	$54.03	$336.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $37.59 / $83.14	Professional		$21.79	$37.59	$83.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $43.55 / $128.71 / $346.50	Facility		$43.55	$128.71	$346.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.79 / $38.63 / $101.43	Professional		$21.79	$38.63	$101.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.73 / $38.55 / $53.01	Professional		$33.73	$38.55	$53.01
United Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $62.42	Professional		$17.98	$25.70	$62.42