Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $62.08 / $95.27	Facility		$28.61	$62.08	$95.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $30.80 / $85.62	Professional		$28.61	$30.80	$85.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $50.73 / $85.26	Facility		$28.81	$50.73	$85.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $57.09	Professional		$28.61	$28.61	$57.09
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $38.34 / $38.34	Facility		$38.34	$38.34	$38.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $48.64	Facility		$28.61	$28.61	$48.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $38.61	Professional		$28.61	$28.61	$38.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $28.61	Facility		$26.99	$26.99	$28.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $128.38	Professional		$28.61	$28.61	$128.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $28.61	Facility		$26.99	$26.99	$28.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $133.52	Professional		$28.61	$28.61	$133.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.77 / $33.88 / $43.12	Professional		$27.77	$33.88	$43.12
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $39.79	Professional		$28.61	$28.61	$39.79