Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.00 / $94.35	Facility		$15.85	$28.00	$94.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $28.00 / $32.04	Professional		$24.49	$28.00	$32.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $57.33 / $148.54	Facility		$48.94	$57.33	$148.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $27.25 / $72.44	Professional		$25.42	$27.25	$72.44
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $44.30 / $44.30	Professional		$44.30	$44.30	$44.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $52.12 / $70.36	Facility		$39.09	$52.12	$70.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $47.12 / $111.60	Professional		$34.03	$47.12	$111.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $61.36	Facility		$34.89	$34.89	$61.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $25.47 / $34.89	Professional		$25.47	$25.47	$34.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.89 / $34.89 / $34.89	Facility		$34.89	$34.89	$34.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.47 / $34.89 / $34.89	Professional		$25.47	$34.89	$34.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.50 / $28.19 / $36.96	Professional		$20.50	$28.19	$36.96
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.91 / $34.97	Professional		$17.34	$24.91	$34.97