Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.47 / $40.47 / $77.00	Facility		$40.47	$40.47	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.14 / $40.47 / $54.61	Professional		$31.14	$40.47	$54.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.15 / $28.75 / $82.87	Professional		$27.15	$28.75	$82.87
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $63.75 / $63.75 / $63.75	Professional		$63.75	$63.75	$63.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $63.75 / $86.06	Facility		$47.81	$63.75	$86.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.44 / $63.75 / $136.50	Professional		$41.44	$63.75	$136.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $74.70	Facility		$34.71	$38.29	$74.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $32.54 / $45.63	Professional		$32.54	$32.54	$45.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $38.29 / $38.29	Facility		$34.71	$38.29	$38.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $38.29 / $38.29	Professional		$32.54	$38.29	$38.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $33.01 / $43.27	Professional		$24.00	$33.01	$43.27
United Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $29.93 / $40.72	Professional		$18.75	$29.93	$40.72