Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $31.86 / $31.86	Facility		$31.86	$31.86	$31.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $31.86 / $57.41	Professional		$31.31	$31.86	$57.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.12 / $74.59 / $119.34	Facility		$54.12	$74.59	$119.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $43.62 / $77.56	Professional		$43.38	$43.62	$77.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $61.78 / $65.20	Professional		$60.73	$61.78	$65.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.07 / $43.61 / $61.78	Facility		$5.07	$43.61	$61.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.62 / $40.15 / $76.40	Professional		$4.62	$40.15	$76.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $58.31	Facility		$39.06	$39.06	$58.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $39.06 / $69.00	Professional		$33.20	$39.06	$69.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.06 / $39.06 / $51.26	Facility		$39.06	$39.06	$51.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $39.06 / $51.26	Professional		$39.06	$39.06	$51.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $51.27 / $73.93	Professional		$41.01	$51.27	$73.93
United Facility/Professional Professional Modifier Low / Median / High Price $19.72 / $29.63 / $48.48	Professional		$19.72	$29.63	$48.48