Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.32 / $38.32 / $38.32	Facility		$38.32	$38.32	$38.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $38.49 / $70.56	Professional		$38.32	$38.49	$70.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.09 / $89.70 / $143.52	Facility		$65.09	$89.70	$143.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $65.23 / $136.35	Professional		$56.04	$65.23	$136.35
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $90.84 / $92.45	Professional		$84.13	$90.84	$92.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $53.82 / $92.45	Facility		$6.92	$53.82	$92.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $52.54 / $108.68	Professional		$6.10	$52.54	$108.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $93.08	Facility		$46.18	$46.18	$93.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $46.18 / $80.25	Professional		$39.25	$46.18	$80.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $46.18 / $60.89	Facility		$46.18	$46.18	$60.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $46.18 / $46.18	Professional		$46.18	$46.18	$46.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $69.00 / $95.83	Professional		$46.00	$69.00	$95.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $41.10 / $63.07	Professional		$25.23	$41.10	$63.07