Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.76 / $52.76 / $52.76	Facility		$52.76	$52.76	$52.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $52.76 / $81.05	Professional		$47.13	$52.76	$81.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $80.88 / $169.05	Professional		$68.75	$80.88	$169.05
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $118.87 / $118.87 / $132.97	Professional		$118.87	$118.87	$132.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.32 / $76.29 / $128.33	Facility		$9.32	$76.29	$128.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $74.09 / $139.62	Professional		$8.40	$74.09	$139.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $133.88	Facility		$66.39	$66.39	$133.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $56.43 / $144.84	Professional		$56.43	$56.43	$144.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $66.39 / $87.14	Facility		$66.39	$66.39	$87.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $66.39 / $66.39	Professional		$56.43	$66.39	$66.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $95.06 / $137.08	Professional		$76.04	$95.06	$137.08
United Facility/Professional Professional Modifier Low / Median / High Price $35.21 / $52.81 / $80.88	Professional		$35.21	$52.81	$80.88