Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $91.20 / $138.04	Facility		$48.98	$91.20	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $52.48 / $83.18	Professional		$45.71	$52.48	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $64.57 / $112.20	Facility		$56.23	$64.57	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $31.62 / $114.82	Professional		$24.55	$31.62	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $208.93	Facility		$39.81	$39.81	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $54.95 / $123.03	Professional		$28.18	$54.95	$123.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $63.10 / $208.93	Facility		$54.95	$63.10	$208.93
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $138.04	Professional		$28.18	$33.11	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $54.95 / $75.86	Professional		$45.71	$54.95	$75.86
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $67.61 / $141.25	Professional		$52.48	$67.61	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $54.95 / $61.66	Facility		$22.39	$54.95	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $70.79	Professional		$25.70	$37.15	$70.79