Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $123.03 / $190.55	Facility		$52.48	$123.03	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $81.28 / $186.21	Professional		$38.02	$81.28	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $81.28	Professional		$38.90	$44.67	$81.28
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $114.82	Professional		$81.28	$100.00	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $33.88 / $43.65	Facility		$26.92	$33.88	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $87.10	Professional		$41.69	$63.10	$87.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $61.66 / $87.10	Professional		$42.66	$61.66	$87.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10