Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $127.64 / $614.00	Facility		$30.30	$127.64	$614.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.50 / $40.29 / $71.01	Professional		$23.50	$40.29	$71.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.45 / $24.54 / $51.82	Professional		$17.45	$24.54	$51.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Facility		$29.84	$29.84	$29.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $27.76 / $34.35	Facility		$23.02	$27.76	$34.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $53.91 / $65.76	Professional		$43.92	$53.91	$65.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $41.37 / $84.66	Professional		$22.29	$41.37	$84.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $153.47 / $329.43 / $713.80	Facility		$153.47	$329.43	$713.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.67 / $41.30 / $69.88	Professional		$22.67	$41.30	$69.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $74.53 / $102.79	Professional		$54.68	$74.53	$102.79
United Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $38.04 / $48.62	Professional		$25.63	$38.04	$48.62