Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $91.20 / $25,703.96	Facility		$42.66	$91.20	$25,703.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $70.79	Professional		$41.69	$42.66	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $67.61 / $151.36	Facility		$45.71	$67.61	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $72.44	Professional		$42.66	$47.86	$72.44
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $63.10	Facility		$41.69	$41.69	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $97.72	Professional		$41.69	$41.69	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $63.10	Facility		$39.81	$39.81	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $53.70	Professional		$42.66	$42.66	$53.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $63.10 / $123.03	Facility		$39.81	$63.10	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $60.26	Professional		$42.66	$42.66	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $46.77 / $61.66	Professional		$41.69	$46.77	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $52.48 / $81.28	Professional		$42.66	$52.48	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $42.66	Facility		$41.69	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $46.77	Professional		$39.81	$42.66	$46.77