Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.20 / $39.81	Professional		$22.91	$30.20	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $79.43	Facility		$52.48	$56.23	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $87.10	Professional		$33.11	$38.90	$87.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $23.99 / $44.67	Facility		$2.82	$23.99	$44.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $30.20 / $42.66	Professional		$3.63	$30.20	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $41.69	Facility		$31.62	$31.62	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $50.12	Professional		$26.92	$26.92	$50.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $50.12	Facility		$31.62	$31.62	$50.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.90 / $41.69	Professional		$26.92	$30.90	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $38.90 / $61.66	Professional		$30.90	$38.90	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $54.95 / $91.20	Professional		$46.77	$54.95	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $2.75 / $19.05 / $34.67	Facility		$2.75	$19.05	$34.67
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $37.15	Professional		$16.98	$24.55	$37.15