Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $112.20	Facility		$36.31	$77.62	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $56.23	Professional		$28.18	$36.31	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $47.86 / $83.18	Facility		$40.74	$47.86	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.91 / $58.88	Professional		$17.78	$22.91	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $154.88	Facility		$29.51	$29.51	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $38.90 / $89.13	Professional		$20.42	$38.90	$89.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $154.88	Facility		$39.81	$45.71	$154.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.44 / $100.00	Professional		$20.42	$23.44	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $40.74 / $54.95	Professional		$33.88	$40.74	$54.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $53.70 / $104.71	Professional		$38.02	$53.70	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $40.74 / $44.67	Facility		$16.22	$40.74	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $51.29	Professional		$19.05	$26.92	$51.29