Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $190.55	Facility		$41.69	$83.18	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $104.71	Professional		$33.11	$40.74	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $45.71 / $79.43	Facility		$39.81	$45.71	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $63.10	Professional		$21.38	$26.92	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $165.96	Facility		$28.18	$28.18	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $102.33	Professional		$21.88	$38.90	$102.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $44.67 / $177.83	Facility		$38.90	$44.67	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.88 / $109.65	Professional		$21.88	$33.88	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $38.90 / $53.70	Professional		$33.11	$38.90	$53.70
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $102.33	Professional		$37.15	$52.48	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $38.90 / $43.65	Facility		$15.85	$38.90	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $58.88	Professional		$18.20	$26.30	$58.88