Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $70.00 / $594.00	Facility		$70.00	$70.00	$594.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $112.81	Professional		$70.00	$70.00	$112.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.67 / $107.50 / $247.25	Professional		$77.67	$107.50	$247.25
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $321.00 / $321.00	Professional		$321.00	$321.00	$321.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $51.14 / $66.20	Facility		$37.88	$51.14	$66.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.67 / $51.14 / $66.86	Professional		$41.67	$51.14	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $103.40 / $103.40 / $103.40	Facility		$103.40	$103.40	$103.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $60.00	Professional		$45.00	$45.00	$60.00