Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.67 / $30.67 / $30.67	Facility		$30.67	$30.67	$30.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $30.67 / $55.77	Professional		$30.42	$30.67	$55.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $71.81 / $114.90	Facility		$52.11	$71.81	$114.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $43.44 / $74.68	Professional		$43.20	$43.44	$74.68
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $61.53 / $63.96	Professional		$59.49	$61.53	$63.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.22 / $43.09 / $61.53	Facility		$5.22	$43.09	$61.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $39.29 / $76.02	Professional		$4.88	$39.29	$76.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $66.92	Facility		$37.64	$37.64	$66.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.99 / $37.64 / $66.75	Professional		$31.99	$37.64	$66.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Facility		$37.64	$37.64	$37.64
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $37.64 / $37.64	Professional		$37.64	$37.64	$37.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $51.07 / $73.64	Professional		$40.85	$51.07	$73.64
United Facility/Professional Professional Modifier Low / Median / High Price $19.16 / $29.03 / $45.58	Professional		$19.16	$29.03	$45.58