Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.36 / $52.36 / $172.00	Facility		$52.36	$52.36	$172.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.43 / $52.36 / $66.94	Professional		$44.43	$52.36	$66.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.53 / $107.23 / $277.82	Facility		$91.53	$107.23	$277.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.56 / $54.03 / $126.72	Professional		$47.56	$54.03	$126.72
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $82.86 / $82.86	Professional		$82.86	$82.86	$82.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.11 / $97.48 / $131.60	Facility		$73.11	$97.48	$131.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $89.81 / $208.72	Professional		$64.86	$89.81	$208.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $120.53	Facility		$62.72	$62.72	$120.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $80.12	Professional		$45.79	$45.79	$80.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $62.72 / $62.72	Professional		$45.79	$62.72	$62.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.35 / $56.85 / $74.54	Professional		$41.35	$56.85	$74.54
United Facility/Professional Facility Modifier Low / Median / High Price $104.56 / $104.56 / $123.01	Facility		$104.56	$104.56	$123.01
United Facility/Professional Professional Modifier Low / Median / High Price $32.42 / $46.47 / $69.34	Professional		$32.42	$46.47	$69.34