Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.88 / $44.67	Professional		$28.18	$33.88	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $63.10 / $89.13	Facility		$58.88	$63.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $45.71 / $93.33	Professional		$43.65	$45.71	$93.33
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $61.66 / $64.57	Professional		$58.88	$61.66	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $30.20 / $54.95	Facility		$3.09	$30.20	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $37.15 / $54.95	Professional		$3.98	$37.15	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $57.54	Facility		$38.02	$38.02	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $57.54	Professional		$32.36	$32.36	$57.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $57.54	Facility		$38.02	$38.02	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $48.98	Professional		$32.36	$38.02	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $81.28	Professional		$40.74	$51.29	$81.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $102.33	Professional		$51.29	$60.26	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $23.99 / $43.65	Facility		$2.95	$23.99	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $43.65	Professional		$19.05	$28.84	$43.65