Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.44 / $168.96 / $28,066.76	Facility		$54.44	$168.96	$28,066.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $55.50 / $4,349.20	Professional		$50.74	$55.50	$4,349.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.80 / $81.69 / $126.85	Facility		$54.80	$81.69	$126.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $87.86	Professional		$50.74	$50.74	$87.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $67.98 / $67.98	Facility		$67.98	$67.98	$67.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $50.74 / $76.33	Facility		$50.43	$50.74	$76.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $50.74 / $68.50	Professional		$50.43	$50.74	$68.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.87 / $47.87 / $50.74	Facility		$47.87	$47.87	$50.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $141.18	Professional		$50.74	$50.74	$141.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.76 / $102.88 / $237.42	Facility		$68.76	$102.88	$237.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $141.18	Professional		$50.74	$50.74	$141.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.47 / $63.42 / $73.12	Professional		$55.47	$63.42	$73.12
United Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $55.31 / $60.89	Professional		$50.74	$55.31	$60.89