Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $58.88 / $117.49	Facility		$50.12	$58.88	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $58.88	Professional		$20.42	$25.70	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $51.29 / $58.88	Facility		$28.84	$51.29	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $812.83 / $1,412.54	Professional		$63.10	$812.83	$1,412.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $67.61	Facility		$33.11	$33.11	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $51.29 / $74.13	Professional		$33.11	$51.29	$74.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.11 / $295.12	Facility		$25.12	$33.11	$295.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $51.29	Professional		$41.69	$41.69	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $42.66 / $61.66	Professional		$38.90	$42.66	$61.66
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $102.33	Professional		$33.11	$53.70	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.11 / $51.29	Facility		$18.62	$33.11	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $51.29	Professional		$16.22	$23.44	$51.29