Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.09 / $23.09 / $52.00	Facility		$23.09	$23.09	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $23.09 / $46.67	Professional		$22.64	$23.09	$46.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $52.01 / $134.75	Facility		$44.40	$52.01	$134.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $81.31 / $129.01	Professional		$28.62	$81.31	$129.01
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $40.19 / $40.19 / $40.19	Professional		$40.19	$40.19	$40.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.46 / $47.28 / $63.83	Facility		$35.46	$47.28	$63.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $42.79 / $101.24	Professional		$30.90	$42.79	$101.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $55.72	Facility		$30.59	$30.59	$55.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $22.33 / $39.08	Professional		$22.33	$22.33	$39.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Facility		$30.59	$30.59	$30.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $30.59 / $30.59	Professional		$22.33	$30.59	$30.59
United Facility/Professional Facility Modifier Low / Median / High Price $47.98 / $47.98 / $56.45	Facility		$47.98	$47.98	$56.45
United Facility/Professional Professional Modifier Low / Median / High Price $15.72 / $23.59 / $37.97	Professional		$15.72	$23.59	$37.97