Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $97.72 / $151.36	Facility		$51.29	$97.72	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $128.82	Professional		$47.86	$58.88	$128.82
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 / $83.18	Professional		$31.62	$38.90	$83.18
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 / $239.88	Facility		$41.69	$41.69	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $120.23	Professional		$32.36	$41.69	$120.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $239.88	Facility		$41.69	$66.07	$239.88
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 / $57.54 / $79.43	Professional		$43.65	$57.54	$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 / $77.62	Professional		$26.92	$38.90	$77.62