Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $21.18 / $21.18	Facility		$21.18	$21.18	$21.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.38 / $32.01	Professional		$21.18	$21.38	$32.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.97 / $49.58 / $79.31	Facility		$35.97	$49.58	$79.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.01 / $31.21 / $57.74	Professional		$26.01	$31.21	$57.74
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $42.65 / $42.65 / $42.75	Professional		$42.65	$42.65	$42.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.71 / $28.84 / $42.75	Facility		$3.71	$28.84	$42.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.37 / $26.83 / $52.77	Professional		$3.37	$26.83	$52.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $45.67	Facility		$25.90	$25.90	$45.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $25.90 / $45.75	Professional		$22.02	$25.90	$45.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.90 / $25.90 / $34.00	Facility		$25.90	$25.90	$34.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $25.90 / $34.00	Professional		$25.90	$25.90	$34.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $30.57 / $44.08	Professional		$24.45	$30.57	$44.08
United Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.30 / $28.76	Professional		$13.25	$20.30	$28.76