Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $60.80 / $140.44	Facility		$32.22	$60.80	$140.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $32.11 / $99.39	Professional		$25.37	$32.11	$99.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.06 / $59.37 / $164.91	Facility		$38.06	$59.37	$164.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $50.62	Professional		$25.37	$25.37	$50.62
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Facility		$34.00	$34.00	$34.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $25.37 / $43.13	Facility		$25.37	$25.37	$43.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $34.25	Professional		$25.37	$25.37	$34.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $25.37	Facility		$23.93	$23.93	$25.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $128.69	Professional		$25.37	$25.37	$128.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $25.37 / $140.07	Facility		$23.93	$25.37	$140.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $128.69	Professional		$25.37	$25.37	$128.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $36.74 / $46.76	Professional		$30.82	$36.74	$46.76
United Facility/Professional Professional Modifier Low / Median / High Price $25.37 / $25.37 / $33.22	Professional		$25.37	$25.37	$33.22