Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $39.81 / $51.29	Professional		$30.20	$39.81	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $97.72	Facility		$66.07	$70.79	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $114.82	Professional		$47.86	$56.23	$114.82
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $77.62	Professional		$70.79	$77.62	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $33.88 / $60.26	Facility		$4.07	$33.88	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $39.81 / $61.66	Professional		$5.25	$39.81	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $51.29	Facility		$38.90	$38.90	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $64.57	Professional		$33.11	$33.11	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $64.57	Facility		$38.90	$38.90	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $51.29	Professional		$33.11	$38.90	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $95.50	Professional		$39.81	$64.57	$95.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $72.44 / $123.03	Professional		$61.66	$72.44	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $29.51 / $46.77	Facility		$3.89	$29.51	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $54.95	Professional		$21.88	$36.31	$54.95