Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $74.13 / $125.89	Facility		$50.12	$74.13	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $63.10	Professional		$36.31	$42.66	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.17 / $58.88	Professional		$5.01	$6.17	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $60.26	Facility		$52.48	$52.48	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $831.76 / $1,445.44	Professional		$64.57	$831.76	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $112.20	Facility		$33.88	$33.88	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $60.26 / $75.86	Professional		$33.88	$60.26	$75.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $53.70 / $112.20	Facility		$33.88	$53.70	$112.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $54.95 / $104.71	Professional		$33.88	$54.95	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $33.88 / $52.48	Facility		$19.05	$33.88	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $31.62 / $52.48	Professional		$22.39	$31.62	$52.48