Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.34 / $26.34 / $82.00	Facility		$26.34	$26.34	$82.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $26.34 / $30.18	Professional		$23.06	$26.34	$30.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $53.94 / $139.76	Facility		$46.05	$53.94	$139.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.93 / $25.95 / $65.01	Professional		$23.93	$25.95	$65.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $41.68 / $41.68	Professional		$41.68	$41.68	$41.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $49.04 / $66.20	Facility		$36.78	$49.04	$66.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $44.39 / $105.00	Professional		$32.06	$44.39	$105.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $57.79	Facility		$33.72	$33.72	$57.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $24.62 / $40.78	Professional		$24.62	$24.62	$40.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $33.72 / $33.72	Professional		$24.62	$33.72	$33.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.63 / $35.24 / $46.20	Professional		$25.63	$35.24	$46.20
United Facility/Professional Facility Modifier Low / Median / High Price $49.65 / $49.65 / $58.41	Facility		$49.65	$49.65	$58.41
United Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $23.45 / $33.68	Professional		$16.30	$23.45	$33.68