Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.08 / $235.60 / $749.32	Facility		$29.08	$235.60	$749.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.14 / $25.62 / $131.76	Professional		$17.14	$25.62	$131.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.91 / $23.13 / $37.90	Facility		$18.91	$23.13	$37.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $16.13 / $34.28	Professional		$12.13	$16.13	$34.28
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.42 / $24.63 / $32.13	Facility		$21.42	$24.63	$32.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $27.85 / $46.68	Professional		$21.42	$27.85	$46.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.04 / $27.00 / $177.68	Facility		$22.04	$27.00	$177.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $19.16 / $41.57	Professional		$10.90	$19.16	$41.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $39.04 / $177.68	Facility		$18.57	$39.04	$177.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.90 / $19.16 / $41.57	Professional		$10.90	$19.16	$41.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $19.28 / $26.51	Professional		$16.87	$19.28	$26.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $21.42 / $36.40	Professional		$12.85	$21.42	$36.40