Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $25.92 / $25.92	Facility		$25.92	$25.92	$25.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $27.13 / $48.86	Professional		$25.92	$27.13	$48.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.77 / $60.33 / $96.52	Facility		$43.77	$60.33	$96.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $39.86 / $75.63	Professional		$34.07	$39.86	$75.63
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $48.25 / $48.26 / $51.90	Professional		$48.25	$48.26	$51.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.55 / $37.96 / $54.05	Facility		$4.55	$37.96	$54.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $35.43 / $60.16	Professional		$4.17	$35.43	$60.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $50.52	Facility		$33.33	$33.33	$50.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $55.88	Professional		$28.33	$33.33	$55.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Professional		$33.33	$33.33	$43.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.03 / $40.04 / $57.74	Professional		$32.03	$40.04	$57.74
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $25.25 / $34.97	Professional		$16.05	$25.25	$34.97