Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.20 / $98.97 / $149.00	Facility		$22.20	$98.97	$149.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $21.58 / $28.78	Professional		$17.98	$21.58	$28.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.62 / $23.16 / $35.49	Professional		$16.62	$23.16	$35.49
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $30.29 / $34.26	Professional		$30.29	$30.29	$34.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $20.19 / $27.26	Facility		$15.14	$20.19	$27.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $26.13 / $31.98	Professional		$18.84	$26.13	$31.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $24.44 / $47.13	Professional		$17.00	$24.44	$47.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.11 / $35.11 / $35.11	Facility		$35.11	$35.11	$35.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $25.03 / $43.06	Professional		$16.00	$25.03	$43.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.57 / $38.81 / $53.74	Professional		$27.57	$38.81	$53.74
Optum Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.37 / $36.93	Professional		$16.78	$22.37	$36.93
United Facility/Professional Professional Modifier Low / Median / High Price $17.62 / $24.72 / $48.99	Professional		$17.62	$24.72	$48.99