Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $102.33 / $154.88	Facility		$54.95	$102.33	$154.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $104.71	Professional		$36.31	$56.23	$104.71
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 $32.36 / $39.81 / $87.10	Professional		$32.36	$39.81	$87.10
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 / $144.54	Facility		$44.67	$44.67	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.15 / $91.20	Professional		$33.88	$37.15	$91.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $77.62 / $398.11	Facility		$33.88	$77.62	$398.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $36.31	Professional		$33.88	$33.88	$36.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02
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 $44.67 / $72.44 / $158.49	Professional		$44.67	$72.44	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $44.67 / $69.18	Facility		$24.55	$44.67	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $81.28	Professional		$28.84	$41.69	$81.28