Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.95 / $40.95 / $135.00	Facility		$40.95	$40.95	$135.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.72 / $40.95 / $57.87	Professional		$36.72	$40.95	$57.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.59 / $83.88 / $217.31	Facility		$71.59	$83.88	$217.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $42.76 / $101.66	Professional		$37.19	$42.76	$101.66
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Professional		$64.81	$64.81	$64.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $76.25 / $102.94	Facility		$57.19	$76.25	$102.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $76.25 / $163.27	Professional		$52.63	$76.25	$163.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $97.14	Facility		$54.11	$54.11	$97.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $39.50 / $63.40	Professional		$39.50	$39.50	$63.40
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.11 / $54.11 / $54.11	Facility		$54.11	$54.11	$54.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.50 / $54.11 / $54.11	Professional		$39.50	$54.11	$54.11
United Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $48.00 / $48.00	Facility		$48.00	$48.00	$48.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.36 / $37.70 / $55.26	Professional		$25.36	$37.70	$55.26