Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $46.67 / $46.67	Facility		$46.67	$46.67	$46.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.44 / $46.67 / $64.14	Professional		$42.44	$46.67	$64.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.05 / $66.06 / $148.59	Professional		$55.05	$66.06	$148.59
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $90.47 / $90.48	Professional		$90.47	$90.47	$90.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.79 / $61.31 / $90.47	Facility		$7.79	$61.31	$90.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $57.68 / $107.97	Professional		$7.36	$57.68	$107.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $82.40	Facility		$35.54	$35.54	$82.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.22 / $35.54 / $103.13	Professional		$30.22	$35.54	$103.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $74.12	Facility		$35.54	$35.54	$74.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $65.00	Professional		$35.54	$35.54	$65.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $64.69 / $93.28	Professional		$51.75	$64.69	$93.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $43.34 / $62.96	Professional		$28.89	$43.34	$62.96