Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.56 / $50.56 / $50.56	Facility		$50.56	$50.56	$50.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $50.56 / $100.54	Professional		$49.47	$50.56	$100.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $118.36 / $189.38	Facility		$85.88	$118.36	$189.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.65 / $83.79 / $175.14	Professional		$73.65	$83.79	$175.14
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $118.03 / $118.70	Professional		$109.43	$118.03	$118.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.09 / $74.56 / $118.70	Facility		$9.09	$74.56	$118.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $71.02 / $146.62	Professional		$8.05	$71.02	$146.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $119.54	Facility		$60.46	$60.46	$119.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $111.00	Professional		$51.39	$60.46	$111.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.46 / $60.46 / $80.95	Facility		$60.46	$60.46	$80.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $60.46 / $71.44	Professional		$51.39	$60.46	$71.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $98.49 / $142.03	Professional		$78.79	$98.49	$142.03
United Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $53.44 / $82.54	Professional		$33.02	$53.44	$82.54