Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $23.52 / $23.52	Facility		$23.52	$23.52	$23.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $23.52 / $41.10	Professional		$22.42	$23.52	$41.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.96 / $55.08 / $88.12	Facility		$39.96	$55.08	$88.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.45 / $33.96 / $63.13	Professional		$28.45	$33.96	$63.13
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $46.57 / $46.57 / $46.77	Professional		$46.57	$46.57	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.03 / $31.55 / $46.77	Facility		$4.03	$31.55	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.56 / $29.75 / $54.43	Professional		$3.56	$29.75	$54.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $27.79 / $48.97	Facility		$27.79	$27.79	$48.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.62 / $27.79 / $49.50	Professional		$23.62	$27.79	$49.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $27.79 / $30.18	Facility		$27.79	$27.79	$30.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $33.43 / $48.20	Professional		$26.74	$33.43	$48.20
United Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $21.87 / $31.77	Professional		$14.30	$21.87	$31.77