Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $69.18 / $104.71	Facility		$37.15	$69.18	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $66.07	Professional		$34.67	$38.02	$66.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $48.98 / $85.11	Facility		$42.66	$48.98	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $114.82	Professional		$21.38	$26.92	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $162.18	Facility		$30.20	$30.20	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $102.33	Professional		$21.88	$41.69	$102.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $47.86 / $162.18	Facility		$41.69	$47.86	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $107.15	Professional		$21.88	$33.11	$107.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $41.69 / $57.54	Professional		$34.67	$41.69	$57.54
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 / $107.15	Professional		$39.81	$56.23	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $41.69 / $46.77	Facility		$16.60	$41.69	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $58.88	Professional		$19.50	$28.18	$58.88