Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.68 / $52.68 / $167.00	Facility		$52.68	$52.68	$167.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $52.68 / $60.35	Professional		$46.10	$52.68	$60.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.11 / $107.90 / $279.56	Facility		$92.11	$107.90	$279.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $52.55 / $127.51	Professional		$47.84	$52.55	$127.51
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $83.38 / $83.38 / $83.38	Professional		$83.38	$83.38	$83.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.56 / $98.09 / $132.41	Facility		$73.56	$98.09	$132.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $88.75 / $210.03	Professional		$64.09	$88.75	$210.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $115.56	Facility		$66.58	$66.58	$115.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $48.60 / $66.58	Professional		$48.60	$48.60	$66.58
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $66.58 / $66.58	Professional		$48.60	$66.58	$66.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $56.37 / $73.90	Professional		$41.00	$56.37	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $32.61 / $46.89 / $66.88	Professional		$32.61	$46.89	$66.88