Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $27.94 / $82.00	Facility		$27.94	$27.94	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $27.94 / $41.26	Professional		$17.98	$27.94	$41.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $22.05 / $57.22	Professional		$21.47	$22.05	$57.22
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $44.02 / $44.02	Professional		$44.02	$44.02	$44.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.11 / $45.34 / $59.43	Facility		$36.11	$45.34	$59.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $44.02 / $94.26	Professional		$31.45	$44.02	$94.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.65 / $29.06 / $56.70	Facility		$28.65	$29.06	$56.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $24.70 / $36.34	Professional		$24.70	$24.70	$36.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.06 / $29.06 / $29.09	Facility		$29.06	$29.06	$29.09
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.70 / $29.06 / $29.06	Professional		$24.70	$29.06	$29.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $34.27 / $44.93	Professional		$24.92	$34.27	$44.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.64 / $20.98 / $30.86	Professional		$14.64	$20.98	$30.86