Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.36 / $48.59 / $115.98	Facility		$21.36	$48.59	$115.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.53 / $46.24	Professional		$17.80	$21.53	$46.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $49.87 / $138.52	Facility		$31.97	$49.87	$138.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $35.92	Professional		$21.31	$21.31	$35.92
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $28.56 / $28.56 / $28.56	Facility		$28.56	$28.56	$28.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $21.31 / $32.01	Facility		$21.20	$21.31	$32.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.31 / $28.77	Professional		$21.20	$21.31	$28.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $20.11 / $21.31	Facility		$20.11	$20.11	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $24.23	Professional		$21.31	$21.31	$24.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $24.62 / $90.51	Facility		$17.14	$24.62	$90.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $21.31 / $24.23	Professional		$18.84	$21.31	$24.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.32 / $26.63 / $30.74	Professional		$23.32	$26.63	$30.74
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $23.05	Professional		$21.31	$21.31	$23.05