Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $333.70 / $1,185.09	Facility		$30.01	$333.70	$1,185.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $35.45 / $416.35	Professional		$30.01	$35.45	$416.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.40 / $52.41 / $86.13	Facility		$32.40	$52.41	$86.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $50.59	Professional		$30.01	$30.01	$50.59
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $40.21 / $40.21 / $40.21	Facility		$40.21	$40.21	$40.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $30.01 / $44.24	Facility		$29.30	$30.01	$44.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $30.01 / $40.51	Professional		$29.30	$30.01	$40.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $28.31 / $30.01	Facility		$28.31	$28.31	$30.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $37.08	Professional		$30.01	$30.01	$37.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $43.11 / $91.55	Facility		$20.28	$43.11	$91.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.92 / $30.01 / $37.08	Professional		$25.92	$30.01	$37.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $37.51 / $42.48	Professional		$32.22	$37.51	$42.48
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $32.46	Professional		$30.01	$30.01	$32.46