Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $24.66 / $24.66	Facility		$24.66	$24.66	$24.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.92 / $24.66 / $43.85	Professional		$23.92	$24.66	$43.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $57.73 / $92.36	Facility		$41.89	$57.73	$92.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $34.58 / $60.03	Professional		$34.50	$34.58	$60.03
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $53.22 / $56.82	Professional		$53.22	$53.22	$56.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $35.65 / $56.82	Facility		$4.57	$35.65	$56.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $34.64 / $70.19	Professional		$3.93	$34.64	$70.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $57.23	Facility		$29.99	$29.99	$57.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $52.88	Professional		$25.49	$29.99	$52.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $39.36	Facility		$29.99	$29.99	$39.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.49 / $29.99 / $39.36	Professional		$25.49	$29.99	$39.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $40.64 / $58.60	Professional		$32.51	$40.64	$58.60
United Facility/Professional Facility Modifier Low / Median / High Price $2.23 / $17.68 / $34.64	Facility		$2.23	$17.68	$34.64
United Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $25.63 / $34.90	Professional		$16.02	$25.63	$34.90