Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.52 / $188.82 / $644.50	Facility		$56.52	$188.82	$644.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $45.05 / $170.46	Professional		$38.26	$45.05	$170.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $55.29 / $90.59	Facility		$45.20	$55.29	$90.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $30.48 / $117.26	Professional		$22.75	$30.48	$117.26
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $32.25 / $32.25 / $32.25	Facility		$32.25	$32.25	$32.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.19 / $58.87 / $76.79	Facility		$51.19	$58.87	$76.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.19 / $66.55 / $111.74	Professional		$51.19	$66.55	$111.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $64.54 / $292.11	Facility		$45.68	$64.54	$292.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $41.73 / $99.23	Professional		$23.45	$41.73	$99.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.86 / $74.75 / $292.11	Facility		$44.86	$74.75	$292.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.45 / $39.61 / $99.23	Professional		$23.45	$39.61	$99.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.30 / $46.06 / $63.34	Professional		$40.30	$46.06	$63.34
United Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $51.19 / $51.19	Facility		$33.67	$51.19	$51.19
United Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $51.19 / $77.08	Professional		$30.71	$51.19	$77.08