Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $95.50 / $154.88	Facility		$54.95	$95.50	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $85.11	Professional		$40.74	$56.23	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $72.44 / $125.89	Facility		$63.10	$72.44	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $95.50	Professional		$27.54	$35.48	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $234.42	Facility		$44.67	$44.67	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $138.04	Professional		$27.54	$60.26	$138.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $70.79 / $234.42	Facility		$61.66	$70.79	$234.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.15 / $154.88	Professional		$27.54	$37.15	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $85.11	Professional		$51.29	$61.66	$85.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $75.86 / $158.49	Professional		$58.88	$75.86	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $61.66 / $69.18	Facility		$24.55	$61.66	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $38.02 / $79.43	Professional		$25.12	$38.02	$79.43