Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.37 / $6,552.00 / $18,271.77	Facility		$25.37	$6,552.00	$18,271.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.30 / $22.17 / $7,693.50	Professional		$21.30	$22.17	$7,693.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $34.31 / $53.28	Facility		$23.01	$34.31	$53.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $36.90	Professional		$21.31	$21.31	$36.90
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Facility		$21.31	$21.31	$21.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $22.06 / $32.09	Facility		$21.31	$22.06	$32.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.06 / $28.77	Professional		$21.31	$22.06	$28.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $21.31	Facility		$20.10	$20.10	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $46.37	Professional		$21.31	$21.31	$46.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $26.12 / $71.20	Facility		$20.10	$26.12	$71.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $46.37	Professional		$21.31	$21.31	$46.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $27.57 / $30.89	Professional		$23.44	$27.57	$30.89
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $27.75	Professional		$21.31	$21.31	$27.75