Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $47.86 / $81.28	Facility		$23.99	$47.86	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.99 / $34.67	Professional		$22.91	$23.99	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $154.88	Facility		$25.70	$51.29	$154.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $41.69	Professional		$23.99	$26.30	$41.69
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $23.99	Facility		$22.39	$22.39	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $53.70	Professional		$23.99	$23.99	$53.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $23.99	Facility		$22.39	$22.39	$23.99
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $53.70	Professional		$23.99	$23.99	$53.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $35.48	Professional		$23.99	$29.51	$35.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $35.48 / $48.98	Professional		$20.89	$35.48	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $30.20	Professional		$23.99	$23.99	$30.20