Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.67 / $40.67 / $142.00	Facility		$40.67	$40.67	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $40.67 / $52.62	Professional		$37.34	$40.67	$52.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.11 / $83.30 / $215.83	Facility		$71.11	$83.30	$215.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.95 / $44.34 / $99.96	Professional		$36.95	$44.34	$99.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $64.37 / $68.16	Professional		$64.37	$64.37	$68.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.80 / $75.73 / $104.28	Facility		$56.80	$75.73	$104.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.01 / $75.73 / $162.15	Professional		$53.01	$75.73	$162.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $101.83	Facility		$48.98	$48.98	$101.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $62.57	Professional		$35.76	$35.76	$62.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.98 / $48.98	Professional		$35.76	$48.98	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.12 / $44.17 / $57.91	Professional		$32.12	$44.17	$57.91
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $37.78 / $56.92	Professional		$25.19	$37.78	$56.92