Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.57 / $21.57 / $21.57	Facility		$21.57	$21.57	$21.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $22.03 / $41.61	Professional		$21.57	$22.03	$41.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.63 / $50.49 / $80.78	Facility		$36.63	$50.49	$80.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $32.54 / $65.62	Professional		$29.55	$32.54	$65.62
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $46.41 / $48.59	Professional		$46.41	$46.41	$48.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.95 / $30.58 / $48.59	Facility		$3.95	$30.58	$48.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.43 / $29.59 / $57.33	Professional		$3.43	$29.59	$57.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $49.92	Facility		$28.34	$28.34	$49.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $24.09 / $56.25	Professional		$24.09	$24.09	$56.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.34 / $28.34 / $37.19	Facility		$28.34	$28.34	$37.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.09 / $28.34 / $32.20	Professional		$24.09	$28.34	$32.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $34.74 / $50.09	Professional		$27.79	$34.74	$50.09
United Facility/Professional Professional Modifier Low / Median / High Price $13.91 / $22.18 / $34.78	Professional		$13.91	$22.18	$34.78