Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $59.84 / $117.00	Facility		$24.13	$59.84	$117.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $14.51 / $24.13	Professional		$13.33	$14.51	$24.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $21.72 / $43.89	Professional		$17.27	$21.72	$43.89
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Facility		$22.00	$22.00	$22.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $15.88 / $15.88	Facility		$15.88	$15.88	$15.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $15.88 / $15.88	Professional		$15.88	$15.88	$15.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $38.47 / $59.64	Professional		$10.00	$38.47	$59.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.87 / $46.87 / $46.87	Facility		$46.87	$46.87	$46.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $37.89 / $53.87	Professional		$10.00	$37.89	$53.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $41.66 / $41.66	Professional		$41.66	$41.66	$41.66
United Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $52.93 / $89.80	Professional		$35.93	$52.93	$89.80