Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.03 / $30.03 / $30.03	Facility		$30.03	$30.03	$30.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.57 / $30.03 / $40.52	Professional		$28.57	$30.03	$40.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.01 / $70.30 / $112.48	Facility		$51.01	$70.30	$112.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.85 / $42.52 / $81.78	Professional		$36.85	$42.52	$81.78
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $59.96 / $59.96 / $60.56	Professional		$59.96	$59.96	$60.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.67 / $39.59 / $60.56	Facility		$4.67	$39.59	$60.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $38.00 / $69.48	Professional		$4.55	$38.00	$69.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $62.68	Facility		$35.56	$35.56	$62.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $35.56 / $63.00	Professional		$30.23	$35.56	$63.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $35.56 / $46.67	Facility		$35.56	$35.56	$46.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $35.56 / $46.67	Professional		$35.56	$35.56	$46.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $43.30 / $62.44	Professional		$34.64	$43.30	$62.44
United Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $28.18 / $39.58	Professional		$18.78	$28.18	$39.58