Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $199.53	Facility		$53.70	$100.00	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $120.23	Professional		$40.74	$53.70	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $120.23	Facility		$60.26	$69.18	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $85.11	Professional		$26.30	$33.11	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $75.86 / $91.20	Facility		$52.48	$75.86	$91.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $89.13	Professional		$66.07	$77.62	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $323.59	Facility		$42.66	$42.66	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $57.54 / $131.83	Professional		$27.54	$57.54	$131.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $323.59	Facility		$58.88	$79.43	$323.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $35.48 / $147.91	Professional		$27.54	$35.48	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $81.28	Professional		$48.98	$58.88	$81.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $72.44 / $151.36	Professional		$54.95	$72.44	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $58.88 / $66.07	Facility		$23.44	$58.88	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $75.86	Professional		$25.12	$36.31	$75.86