Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $69.18 / $123.03	Facility		$41.69	$69.18	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $134.90	Professional		$40.74	$44.67	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $53.70 / $93.33	Facility		$46.77	$53.70	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $31.62 / $64.57	Professional		$25.12	$31.62	$64.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $58.88	Facility		$34.67	$34.67	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $194.98	Facility		$33.11	$33.11	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $74.13	Professional		$26.30	$33.11	$74.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $52.48 / $194.98	Facility		$33.11	$52.48	$194.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $31.62 / $60.26	Professional		$5.62	$31.62	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $63.10	Professional		$34.67	$42.66	$63.10
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $53.70 / $120.23	Professional		$33.11	$53.70	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $51.29	Facility		$18.62	$35.48	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $61.66	Professional		$21.38	$30.90	$61.66