Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.72 / $483.70 / $8,956.00	Facility		$26.72	$483.70	$8,956.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $26.26 / $57.56	Professional		$10.70	$26.26	$57.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $57.00 / $64.00	Facility		$57.00	$57.00	$64.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $42.95 / $78.23	Professional		$25.50	$42.95	$78.23
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $29.48 / $29.48 / $29.48	Facility		$29.48	$29.48	$29.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $27.42 / $33.54	Facility		$22.03	$27.42	$33.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $55.51 / $67.73	Professional		$42.55	$55.51	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $38.32 / $94.58	Professional		$21.01	$38.32	$94.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.13 / $190.80 / $384.54	Facility		$64.13	$190.80	$384.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.01 / $38.45 / $93.51	Professional		$21.01	$38.45	$93.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.31 / $75.28 / $102.79	Professional		$56.31	$75.28	$102.79
United Facility/Professional Facility Modifier Low / Median / High Price $444.00 / $975.00 / $2,914.00	Facility		$444.00	$975.00	$2,914.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.52 / $40.45 / $65.08	Professional		$25.52	$40.45	$65.08