Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $134.00 / $7,602.49	Facility		$55.65	$134.00	$7,602.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $56.19 / $73.44	Professional		$55.64	$56.19	$73.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.10 / $95.44 / $158.60	Facility		$60.10	$95.44	$158.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $62.32 / $93.82	Professional		$55.65	$62.32	$93.82
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $131.88 / $131.88 / $131.88	Facility		$131.88	$131.88	$131.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $55.65 / $82.64	Facility		$55.09	$55.65	$82.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.65 / $89.04	Professional		$55.09	$55.65	$89.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $74.84	Facility		$52.50	$55.65	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $70.73	Professional		$55.65	$55.65	$70.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $52.50 / $55.65 / $122.82	Facility		$52.50	$55.65	$122.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $78.75	Professional		$55.65	$55.65	$78.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $62.22 / $77.12	Professional		$55.09	$62.22	$77.12
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $68.97	Professional		$55.65	$55.65	$68.97