Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.74 / $79.73 / $122.34	Facility		$36.74	$79.73	$122.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $46.92	Professional		$36.74	$36.74	$46.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.68 / $63.01 / $104.71	Facility		$39.68	$63.01	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $41.14 / $61.94	Professional		$36.74	$41.14	$61.94
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $36.74	Professional		$36.74	$36.74	$36.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.65 / $36.74 / $54.99	Facility		$36.65	$36.74	$54.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $36.74 / $58.78	Professional		$36.65	$36.74	$58.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $36.65 / $36.74	Facility		$34.65	$36.65	$36.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $46.80	Professional		$36.74	$36.74	$46.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $36.74 / $89.81	Facility		$34.65	$36.74	$89.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $51.99	Professional		$36.74	$36.74	$51.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $42.15 / $52.86	Professional		$36.65	$42.15	$52.86
United Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
United Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $36.74 / $43.76	Professional		$36.74	$36.74	$43.76