Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.59 / $34.15 / $78.75	Facility		$6.59	$34.15	$78.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.65 / $30.46 / $39.40	Professional		$26.65	$30.46	$39.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $62.38 / $161.62	Facility		$53.25	$62.38	$161.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.66 / $30.58 / $78.81	Professional		$27.66	$30.58	$78.81
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $48.20 / $48.20	Professional		$48.20	$48.20	$48.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.53 / $56.71 / $76.56	Facility		$42.53	$56.71	$76.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.06 / $51.31 / $121.43	Professional		$37.06	$51.31	$121.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $66.80	Facility		$33.22	$33.22	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $42.44	Professional		$24.25	$24.25	$42.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $33.22 / $33.22	Professional		$24.25	$33.22	$33.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $14.09 / $18.47	Professional		$10.24	$14.09	$18.47
United Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $27.26 / $38.03	Professional		$18.86	$27.26	$38.03