Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $35.39 / $116.00	Facility		$35.39	$35.39	$116.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $35.39 / $40.56	Professional		$30.98	$35.39	$40.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.87 / $72.48 / $187.79	Facility		$61.87	$72.48	$187.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.14 / $34.47 / $86.97	Professional		$32.14	$34.47	$86.97
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $56.01 / $56.01 / $56.01	Professional		$56.01	$56.01	$56.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.42 / $65.89 / $88.95	Facility		$49.42	$65.89	$88.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $59.61 / $141.08	Professional		$43.05	$59.61	$141.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $77.62	Facility		$36.78	$36.78	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $26.85 / $46.99	Professional		$26.85	$26.85	$46.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.78 / $36.78 / $36.78	Facility		$36.78	$36.78	$36.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $36.78 / $36.78	Professional		$26.85	$36.78	$36.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $47.92 / $62.83	Professional		$34.85	$47.92	$62.83
United Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $66.70 / $78.48	Facility		$66.70	$66.70	$78.48
United Facility/Professional Professional Modifier Low / Median / High Price $21.92 / $31.50 / $44.94	Professional		$21.92	$31.50	$44.94