Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.83 / $54.83 / $123.00	Facility		$54.83	$54.83	$123.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $54.83 / $65.11	Professional		$49.72	$54.83	$65.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.43 / $123.51 / $320.00	Facility		$105.43	$123.51	$320.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $57.87 / $145.96	Professional		$56.26	$57.87	$145.96
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $95.44 / $95.44 / $95.44	Professional		$95.44	$95.44	$95.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $112.28 / $151.58	Facility		$76.05	$112.28	$151.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $101.05 / $240.41	Professional		$72.98	$101.05	$240.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $125.34	Facility		$60.21	$60.21	$125.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $43.95 / $76.92	Professional		$43.95	$43.95	$76.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.21 / $60.21 / $60.21	Facility		$60.21	$60.21	$60.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $60.21 / $60.21	Professional		$43.95	$60.21	$60.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $65.50 / $85.87	Professional		$47.64	$65.50	$85.87
United Facility/Professional Professional Modifier Low / Median / High Price $37.34 / $56.02 / $74.06	Professional		$37.34	$56.02	$74.06