Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $48.98 / $79.43	Facility		$28.18	$48.98	$79.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.18 / $52.48	Professional		$16.98	$28.18	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.38 / $43.65	Professional		$14.13	$17.38	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $40.74	Facility		$19.50	$19.50	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $120.23	Facility		$22.91	$22.91	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $46.77	Professional		$10.72	$16.22	$46.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $36.31 / $120.23	Facility		$22.91	$36.31	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.85 / $33.88	Professional		$10.72	$15.85	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.84 / $43.65	Professional		$19.50	$28.84	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $37.15 / $81.28	Professional		$22.91	$37.15	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $17.38 / $35.48	Facility		$12.30	$17.38	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.79 / $35.48	Professional		$8.71	$14.79	$35.48