Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $134.90 / $363.08	Facility		$58.88	$134.90	$363.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $134.90	Professional		$46.77	$60.26	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $67.61 / $117.49	Facility		$58.88	$67.61	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $81.28	Professional		$31.62	$38.90	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $74.13	Facility		$43.65	$43.65	$74.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $134.90	Facility		$41.69	$41.69	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $93.33	Professional		$32.36	$41.69	$93.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $85.11 / $371.54	Facility		$41.69	$85.11	$371.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $89.13	Professional		$32.36	$41.69	$89.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $79.43	Professional		$43.65	$53.70	$79.43
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 $41.69 / $67.61 / $147.91	Professional		$41.69	$67.61	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $64.57	Facility		$23.44	$44.67	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $89.13	Professional		$26.92	$38.90	$89.13