Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $57.54 / $223.87	Facility		$27.54	$57.54	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $112.20	Professional		$21.88	$33.88	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $51.29	Professional		$19.50	$26.92	$51.29
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $50.12 / $58.88	Facility		$41.69	$50.12	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $100.00	Professional		$43.65	$48.98	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $74.13 / $141.25	Facility		$64.57	$74.13	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $48.98 / $79.43	Professional		$30.20	$48.98	$79.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $85.11 / $134.90	Facility		$67.61	$85.11	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $77.62	Professional		$29.51	$47.86	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $87.10	Professional		$45.71	$53.70	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $45.71	Facility		$37.15	$37.15	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $41.69 / $50.12	Professional		$25.70	$41.69	$50.12