Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.07 / $61.31 / $124.06	Facility		$36.07	$61.31	$124.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $37.67 / $54.74	Professional		$19.93	$37.67	$54.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $27.00 / $46.03	Facility		$24.00	$27.00	$46.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.35 / $19.95 / $43.98	Professional		$15.35	$19.95	$43.98
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $72.92 / $72.92 / $72.92	Facility		$72.92	$72.92	$72.92
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $39.57 / $39.57	Professional		$39.57	$39.57	$39.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.53 / $62.18 / $83.96	Facility		$56.53	$62.18	$83.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $68.20 / $126.23	Professional		$56.53	$68.20	$126.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $69.72 / $140.00	Facility		$65.00	$69.72	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.45 / $62.87 / $113.79	Professional		$32.45	$62.87	$113.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $74.72 / $128.00	Facility		$36.77	$74.72	$128.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $51.19 / $87.62	Professional		$37.25	$51.19	$87.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.04 / $32.99 / $48.67	Professional		$25.04	$32.99	$48.67
United Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $43.90 / $57.43	Professional		$21.72	$43.90	$57.43