Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.84 / $29.84 / $29.84	Facility		$29.84	$29.84	$29.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.18 / $29.84 / $49.83	Professional		$27.18	$29.84	$49.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $69.86 / $111.78	Facility		$50.69	$69.86	$111.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.86 / $46.37 / $96.89	Professional		$41.86	$46.37	$96.89
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $65.69 / $66.00	Professional		$61.23	$65.69	$66.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.94 / $40.89 / $65.69	Facility		$4.94	$40.89	$65.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.69 / $39.88 / $77.23	Professional		$4.69	$39.88	$77.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $66.16	Facility		$34.40	$34.40	$66.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.40 / $61.88	Professional		$29.25	$34.40	$61.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.40 / $34.40 / $43.29	Facility		$34.40	$34.40	$43.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $34.40 / $34.40	Professional		$34.40	$34.40	$34.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.69 / $49.04 / $68.11	Professional		$32.69	$49.04	$68.11
United Facility/Professional Facility Modifier Low / Median / High Price $3.04 / $23.73 / $40.51	Facility		$3.04	$23.73	$40.51
United Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $29.90 / $46.37	Professional		$19.12	$29.90	$46.37