Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $37.15 / $46.77	Facility		$28.18	$37.15	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $39.81	Professional		$19.05	$28.18	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $47.86 / $72.44	Facility		$45.71	$47.86	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.12 / $57.54	Professional		$18.62	$25.12	$57.54
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $53.70	Facility		$22.39	$33.88	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $61.66	Professional		$29.51	$40.74	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $61.66	Facility		$28.84	$28.84	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $28.84	Professional		$21.38	$21.38	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $48.98	Professional		$24.55	$34.67	$48.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $50.12 / $93.33	Professional		$45.71	$50.12	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $30.20 / $33.88	Facility		$17.38	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $21.38 / $33.11	Professional		$14.13	$21.38	$33.11