Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $68.34 / $16,260.45	Facility		$29.98	$68.34	$16,260.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.00 / $39.99	Professional		$29.98	$30.00	$39.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.38 / $51.42 / $85.44	Facility		$32.38	$51.42	$85.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $33.57 / $50.54	Professional		$29.98	$33.57	$50.54
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $71.05 / $71.05 / $71.05	Facility		$71.05	$71.05	$71.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $30.00 / $44.97	Facility		$29.98	$30.00	$44.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.00 / $47.97	Professional		$29.98	$30.00	$47.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $28.81 / $37.15	Facility		$28.28	$28.81	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $37.38	Professional		$29.98	$29.98	$37.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.81 / $42.92 / $84.03	Facility		$28.81	$42.92	$84.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $42.42	Professional		$29.98	$29.98	$42.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $34.47 / $42.00	Professional		$29.98	$34.47	$42.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $36.71	Professional		$29.98	$29.98	$36.71