Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.15 / $44.15 / $44.15	Facility		$44.15	$44.15	$44.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $44.15 / $65.93	Professional		$43.09	$44.15	$65.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.98 / $103.35 / $165.36	Facility		$74.98	$103.35	$165.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.47 / $58.80 / $107.48	Professional		$58.47	$58.80	$107.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $83.30 / $89.03	Professional		$82.99	$83.30	$89.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.44 / $58.70 / $86.81	Facility		$7.44	$58.70	$86.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $54.15 / $102.85	Professional		$7.03	$54.15	$102.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $80.23	Facility		$54.06	$54.06	$80.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $96.00	Professional		$45.95	$54.06	$96.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.06 / $54.06 / $70.95	Facility		$54.06	$54.06	$70.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $54.06 / $70.95	Professional		$45.95	$54.06	$70.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.26 / $69.08 / $99.62	Professional		$55.26	$69.08	$99.62
United Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $40.70 / $59.19	Professional		$27.14	$40.70	$59.19