Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $68.79 / $425.84	Facility		$30.17	$68.79	$425.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $30.17 / $76.06	Professional		$27.64	$30.17	$76.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $70.59 / $196.11	Facility		$45.26	$70.59	$196.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $50.86	Professional		$30.17	$30.17	$50.86
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $40.43 / $40.43 / $40.43	Facility		$40.43	$40.43	$40.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.17 / $30.17 / $51.29	Facility		$30.17	$30.17	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $40.72	Professional		$30.17	$30.17	$40.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.46 / $30.17	Facility		$28.46	$28.46	$30.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $64.37	Professional		$30.17	$30.17	$64.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.46 / $28.69 / $38.04	Facility		$28.46	$28.69	$38.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $64.37	Professional		$30.17	$30.17	$64.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.38 / $37.71 / $42.68	Professional		$32.38	$37.71	$42.68
United Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $30.17 / $39.28	Professional		$30.17	$30.17	$39.28