Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.56 / $44.56 / $44.56	Facility		$44.56	$44.56	$44.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $44.56 / $70.00	Professional		$42.84	$44.56	$70.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $104.30 / $166.88	Facility		$75.68	$104.30	$166.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.80 / $55.90 / $108.47	Professional		$55.80	$55.90	$108.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $90.24 / $90.24 / $91.88	Professional		$90.24	$90.24	$91.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.82 / $62.01 / $91.88	Facility		$7.82	$62.01	$91.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $57.65 / $113.48	Professional		$6.90	$57.65	$113.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $93.54	Facility		$46.80	$46.80	$93.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $46.80 / $92.25	Professional		$39.78	$46.80	$92.25
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.80 / $46.80 / $46.80	Facility		$46.80	$46.80	$46.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.80 / $46.80 / $53.02	Professional		$46.80	$46.80	$53.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $65.70 / $94.74	Professional		$52.56	$65.70	$94.74
United Facility/Professional Professional Modifier Low / Median / High Price $28.04 / $42.05 / $55.90	Professional		$28.04	$42.05	$55.90