Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.01 / $49.32 / $5,631.28	Facility		$22.01	$49.32	$5,631.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.23 / $52.68	Professional		$22.01	$22.23	$52.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $38.46 / $63.20	Facility		$23.78	$38.46	$63.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $38.11	Professional		$22.02	$22.02	$38.11
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $37.43	Facility		$22.02	$22.02	$37.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $29.73	Professional		$22.02	$22.02	$29.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $22.02	Facility		$20.77	$20.77	$22.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $52.11	Professional		$22.02	$22.02	$52.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $38.61 / $41.74	Facility		$27.80	$38.61	$41.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $52.11	Professional		$22.02	$22.02	$52.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $26.53 / $30.82	Professional		$22.91	$26.53	$30.82
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $28.85	Professional		$22.02	$22.02	$28.85