Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.57 / $89.91 / $7,321.83	Facility		$35.57	$89.91	$7,321.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.26 / $154.59	Professional		$27.00	$27.26	$154.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $43.47 / $67.50	Facility		$29.16	$43.47	$67.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $51.30	Professional		$27.00	$27.00	$51.30
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $36.18 / $36.18 / $36.18	Facility		$36.18	$36.18	$36.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.05 / $27.00 / $40.36	Facility		$25.05	$27.00	$40.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $27.00 / $36.45	Professional		$25.05	$27.00	$36.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $24.65 / $27.00	Facility		$24.65	$24.65	$27.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $120.91	Professional		$27.00	$27.00	$120.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.76 / $84.64 / $187.12	Facility		$29.76	$84.64	$187.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $120.91	Professional		$27.00	$27.00	$120.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $34.81 / $39.15	Professional		$29.70	$34.81	$39.15
United Facility/Professional Professional Modifier Low / Median / High Price $27.00 / $27.00 / $35.15	Professional		$27.00	$27.00	$35.15