Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $35.57 / $35.57	Facility		$35.57	$35.57	$35.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $35.57 / $60.72	Professional		$33.82	$35.57	$60.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $83.28 / $133.24	Facility		$60.42	$83.28	$133.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $51.67 / $111.06	Professional		$50.00	$51.67	$111.06
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $76.17 / $82.24	Professional		$76.17	$76.17	$82.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.53 / $51.60 / $82.24	Facility		$6.53	$51.60	$82.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.66 / $49.97 / $101.55	Professional		$5.66	$49.97	$101.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $76.09	Facility		$42.49	$42.49	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.49 / $74.63	Professional		$36.11	$42.49	$74.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $42.49 / $42.49 / $55.77	Facility		$42.49	$42.49	$55.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $42.49 / $55.77	Professional		$36.11	$42.49	$55.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.04 / $58.80 / $84.79	Professional		$47.04	$58.80	$84.79
United Facility/Professional Professional Modifier Low / Median / High Price $23.12 / $37.07 / $50.39	Professional		$23.12	$37.07	$50.39