Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.77 / $28.77 / $154.00	Facility		$28.77	$28.77	$154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.77 / $32.90 / $54.24	Professional		$28.77	$32.90	$54.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.57 / $59.25 / $153.50	Facility		$50.57	$59.25	$153.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.44 / $54.36 / $97.34	Professional		$39.44	$54.36	$97.34
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $69.92 / $69.92	Professional		$69.92	$69.92	$69.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $53.93 / $75.40	Facility		$40.40	$53.93	$75.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.70 / $53.86 / $115.33	Professional		$37.70	$53.86	$115.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $84.16	Facility		$57.67	$57.67	$84.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $42.10 / $84.03	Professional		$42.10	$42.10	$84.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Facility		$57.67	$57.67	$57.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.10 / $57.67 / $57.67	Professional		$42.10	$57.67	$57.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.83 / $87.62	Professional		$48.60	$66.83	$87.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.54 / $47.45 / $62.94	Professional		$30.54	$47.45	$62.94