Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $112.20 / $199.53	Facility		$64.57	$112.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $64.57 / $147.91	Professional		$7.94	$64.57	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $85.11 / $147.91	Facility		$74.13	$85.11	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $38.90 / $91.20	Professional		$20.89	$38.90	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $93.33	Facility		$40.74	$40.74	$93.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $52.48 / $275.42	Facility		$15.85	$52.48	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $15.85 / $93.33	Professional		$5.50	$15.85	$93.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $83.18 / $275.42	Facility		$15.85	$83.18	$275.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $9.55 / $52.48	Professional		$5.50	$9.55	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $72.44 / $100.00	Professional		$53.70	$72.44	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $186.21	Professional		$52.48	$85.11	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $39.81 / $81.28	Facility		$6.46	$39.81	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $33.88 / $81.28	Professional		$5.13	$33.88	$81.28