Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.92 / $27.92 / $99.00	Facility		$27.92	$27.92	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $27.92 / $36.11	Professional		$25.72	$27.92	$36.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.81 / $57.18 / $148.13	Facility		$48.81	$57.18	$148.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.35 / $28.83 / $67.56	Professional		$25.35	$28.83	$67.56
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $44.18 / $44.18	Professional		$44.18	$44.18	$44.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.99 / $53.18 / $72.77	Facility		$38.99	$53.18	$72.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.39 / $51.98 / $111.30	Professional		$36.39	$51.98	$111.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $71.95	Facility		$31.92	$31.92	$71.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $23.30 / $34.72	Professional		$23.30	$23.30	$34.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.92 / $31.92 / $31.92	Facility		$31.92	$31.92	$31.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.30 / $31.92 / $31.92	Professional		$23.30	$31.92	$31.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $30.31 / $39.74	Professional		$22.04	$30.31	$39.74
United Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $25.12 / $37.65	Professional		$17.28	$25.12	$37.65