Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $125.89	Facility		$40.74	$77.62	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $117.49	Professional		$33.11	$46.77	$117.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $93.33	Facility		$46.77	$53.70	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $64.57	Professional		$25.12	$30.90	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $57.54	Facility		$33.88	$33.88	$57.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $190.55	Facility		$33.11	$33.11	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $72.44	Professional		$25.70	$31.62	$72.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $190.55	Facility		$33.11	$52.48	$190.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.20 / $67.61	Professional		$25.70	$30.20	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $41.69 / $63.10	Professional		$33.88	$41.69	$63.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $117.49	Professional		$33.11	$52.48	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $34.67 / $50.12	Facility		$18.20	$34.67	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $60.26	Professional		$21.38	$30.20	$60.26