Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $54.95 / $186.21	Facility		$23.99	$54.95	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $22.39 / $46.77	Professional		$19.05	$22.39	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.84 / $50.12	Facility		$25.12	$28.84	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $31.62	Professional		$10.96	$13.80	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $31.62	Facility		$18.20	$18.20	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $66.07	Facility		$17.78	$17.78	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.45 / $38.02	Professional		$12.59	$14.45	$38.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $36.31 / $131.83	Facility		$17.78	$36.31	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $28.18	Professional		$12.59	$13.18	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $33.88	Professional		$18.62	$22.39	$33.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $63.10	Professional		$17.78	$28.84	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.14 / $27.54	Facility		$9.77	$15.14	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $28.18	Professional		$11.48	$16.60	$28.18