Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $97.72	Facility		$31.62	$57.54	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $83.18	Professional		$30.20	$35.48	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $41.69 / $72.44	Facility		$36.31	$41.69	$72.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $60.26	Professional		$15.85	$19.95	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $134.90	Facility		$25.70	$25.70	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $35.48 / $79.43	Professional		$18.20	$35.48	$79.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $134.90	Facility		$35.48	$40.74	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $87.10	Professional		$18.20	$21.38	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $35.48 / $48.98	Professional		$29.51	$35.48	$48.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $46.77 / $91.20	Professional		$33.11	$46.77	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $38.90	Facility		$14.13	$35.48	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $45.71	Professional		$16.60	$23.44	$45.71