Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $31.62 / $102.33	Facility		$19.95	$31.62	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $77.62	Professional		$18.20	$22.91	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.44 / $43.65	Professional		$17.38	$23.44	$43.65
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $43.65	Facility		$30.90	$36.31	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $74.13	Professional		$31.62	$36.31	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $54.95 / $141.25	Facility		$53.70	$54.95	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.90 / $58.88	Professional		$25.12	$38.90	$58.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $81.28 / $154.88	Facility		$17.78	$81.28	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $39.81 / $64.57	Professional		$20.89	$39.81	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $32.36 / $33.11	Professional		$19.95	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.81 / $64.57	Professional		$33.88	$39.81	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $33.88	Facility		$26.92	$26.92	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.20 / $38.02	Professional		$22.39	$30.20	$38.02