Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.74 / $48.74 / $48.74	Facility		$48.74	$48.74	$48.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.35 / $48.74 / $68.91	Professional		$35.35	$48.74	$68.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.78 / $114.09 / $182.54	Facility		$82.78	$114.09	$182.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.15 / $78.56 / $133.38	Professional		$68.15	$78.56	$133.38
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $110.08 / $111.35	Professional		$102.00	$110.08	$111.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.59 / $70.95 / $111.35	Facility		$8.59	$70.95	$111.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $68.45 / $137.47	Professional		$7.76	$68.45	$137.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $112.10	Facility		$55.97	$55.97	$112.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $100.50	Professional		$47.57	$55.97	$100.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $55.97 / $73.45	Facility		$55.97	$55.97	$73.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $55.97 / $73.45	Professional		$47.57	$55.97	$73.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $92.34 / $133.16	Professional		$73.87	$92.34	$133.16
United Facility/Professional Professional Modifier Low / Median / High Price $31.57 / $49.82 / $78.56	Professional		$31.57	$49.82	$78.56