Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $69.18 / $117.49	Facility		$38.02	$69.18	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $83.18	Professional		$32.36	$38.02	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $50.12 / $87.10	Facility		$43.65	$50.12	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $58.88 / $114.82	Professional		$50.12	$58.88	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $54.95 / $66.07	Facility		$38.02	$54.95	$66.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $63.10	Professional		$46.77	$56.23	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $162.18	Facility		$30.90	$30.90	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $42.66 / $104.71	Professional		$21.88	$42.66	$104.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $162.18	Facility		$41.69	$48.98	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $128.82	Professional		$21.88	$25.12	$128.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $42.66 / $58.88	Professional		$35.48	$42.66	$58.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $109.65	Professional		$39.81	$56.23	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $46.77	Facility		$16.98	$42.66	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $54.95	Professional		$19.95	$28.18	$54.95