Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $56.42 / $157.00	Facility		$56.42	$56.42	$157.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.37 / $56.42 / $64.63	Professional		$49.37	$56.42	$64.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.63 / $115.54 / $299.36	Facility		$98.63	$115.54	$299.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $56.01 / $136.55	Professional		$51.25	$56.01	$136.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $89.28 / $89.28	Professional		$89.28	$89.28	$89.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.78 / $105.04 / $141.80	Facility		$78.78	$105.04	$141.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $95.07 / $224.91	Professional		$68.66	$95.07	$224.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $123.78	Facility		$67.95	$67.95	$123.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $49.61 / $86.82	Professional		$49.61	$49.61	$86.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $67.95 / $67.95	Facility		$67.95	$67.95	$67.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $67.95 / $67.95	Professional		$49.61	$67.95	$67.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.43 / $44.59 / $58.46	Professional		$32.43	$44.59	$58.46
United Facility/Professional Professional Modifier Low / Median / High Price $34.94 / $50.07 / $70.53	Professional		$34.94	$50.07	$70.53