Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.79 / $43.79 / $89.00	Facility		$43.79	$43.79	$89.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $43.79 / $46.56	Professional		$36.68	$43.79	$46.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.56 / $89.68 / $232.36	Facility		$76.56	$89.68	$232.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $40.28 / $105.98	Professional		$39.49	$40.28	$105.98
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $69.30 / $69.30 / $69.30	Professional		$69.30	$69.30	$69.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.11 / $81.53 / $110.07	Facility		$57.11	$81.53	$110.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $73.38 / $174.57	Professional		$52.99	$73.38	$174.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $86.94	Facility		$36.72	$36.72	$86.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $26.81 / $46.91	Professional		$26.81	$26.81	$46.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $36.72	Professional		$26.81	$36.72	$36.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.60 / $47.57 / $62.37	Professional		$34.60	$47.57	$62.37
United Facility/Professional Professional Modifier Low / Median / High Price $24.07 / $37.53 / $51.75	Professional		$24.07	$37.53	$51.75