Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $263.03 / $724.44	Facility		$61.66	$263.03	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $104.71	Professional		$52.48	$52.48	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.00 / $346.74	Facility		$57.54	$100.00	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $60.26 / $95.50	Professional		$52.48	$60.26	$95.50
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $72.44	Professional		$45.71	$45.71	$72.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $117.49 / $354.81	Facility		$40.74	$117.49	$354.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $72.44	Professional		$45.71	$45.71	$72.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $123.03	Professional		$56.23	$64.57	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $56.23	Professional		$52.48	$52.48	$56.23