Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.63 / $2,647.20 / $6,920.10	Facility		$33.63	$2,647.20	$6,920.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $42.60 / $4,074.40	Professional		$29.37	$42.60	$4,074.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.73 / $47.30 / $73.45	Facility		$31.73	$47.30	$73.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $49.53	Professional		$29.38	$29.38	$49.53
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $39.36 / $39.36	Facility		$39.36	$39.36	$39.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.24 / $29.38 / $43.76	Facility		$29.24	$29.38	$43.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.24 / $29.38 / $39.65	Professional		$29.24	$29.38	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $27.72 / $29.38	Facility		$27.72	$27.72	$29.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $46.45	Professional		$29.38	$29.38	$46.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.66 / $41.38 / $74.61	Facility		$27.66	$41.38	$74.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $46.45	Professional		$29.38	$29.38	$46.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.16 / $36.72 / $42.39	Professional		$32.16	$36.72	$42.39
United Facility/Professional Facility Modifier Low / Median / High Price $29.36 / $29.36 / $29.38	Facility		$29.36	$29.36	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $32.71 / $36.40	Professional		$29.38	$32.71	$36.40