Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $52.48 / $114.82	Facility		$41.69	$52.48	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $47.86	Professional		$16.98	$21.88	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $48.98	Facility		$41.69	$41.69	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $54.95	Facility		$27.54	$27.54	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $60.26	Professional		$20.42	$23.99	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $245.47	Facility		$20.89	$27.54	$245.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.38 / $51.29	Professional		$20.42	$21.38	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $50.12	Professional		$31.62	$34.67	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $97.72	Professional		$27.54	$44.67	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $27.54 / $41.69	Facility		$15.14	$27.54	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $44.67	Professional		$16.22	$23.44	$44.67