Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $46.77	Facility		$15.85	$22.91	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $74.13	Professional		$12.88	$16.98	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $93.33 / $128.82	Professional		$27.54	$93.33	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $10.23 / $17.38	Facility		$6.92	$10.23	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $107.15 / $151.36	Facility		$23.99	$107.15	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $128.82	Professional		$15.85	$28.18	$128.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Facility		$416.87	$416.87	$416.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $131.83	Professional		$15.85	$26.92	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $123.03	Professional		$18.20	$22.39	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $97.72	Professional		$13.49	$21.88	$97.72