Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $79.43	Facility		$26.92	$52.48	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $67.61	Professional		$25.12	$30.90	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $63.10	Facility		$30.90	$35.48	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $43.65	Professional		$16.60	$21.38	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $38.90	Facility		$22.91	$22.91	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $128.82	Facility		$21.88	$21.88	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $48.98	Professional		$16.98	$21.88	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $34.67 / $128.82	Facility		$21.88	$34.67	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $46.77	Professional		$16.98	$21.88	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.18 / $41.69	Professional		$22.91	$28.18	$41.69
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $35.48 / $79.43	Professional		$21.88	$35.48	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.44 / $33.88	Facility		$12.30	$23.44	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $40.74	Professional		$14.13	$20.42	$40.74