Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $89.89 / $186.27	Facility		$49.07	$89.89	$186.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $50.32 / $84.15	Professional		$41.76	$50.32	$84.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $26.00 / $64.16	Facility		$24.00	$26.00	$64.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $46.55 / $79.13	Professional		$39.04	$46.55	$79.13
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $60.76 / $60.76 / $60.76	Facility		$60.76	$60.76	$60.76
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $37.68 / $37.68 / $61.70	Professional		$37.68	$37.68	$61.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.10 / $56.52 / $69.95	Facility		$47.10	$56.52	$69.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $60.71 / $65.94	Professional		$51.81	$60.71	$65.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $65.00 / $140.00	Facility		$58.53	$65.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $65.93 / $111.17	Professional		$40.88	$65.93	$111.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.82 / $77.84 / $140.00	Facility		$39.82	$77.84	$140.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.88 / $59.63 / $85.04	Professional		$40.88	$59.63	$85.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $34.27 / $48.90	Professional		$25.35	$34.27	$48.90
United Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $46.01 / $62.41	Professional		$35.47	$46.01	$62.41