Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $87.10	Facility		$34.67	$66.07	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $63.10	Professional		$19.95	$30.20	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $38.90 / $67.61	Facility		$33.88	$38.90	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.05 / $52.48	Professional		$14.45	$19.05	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $41.69	Facility		$28.84	$28.84	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $89.13	Facility		$23.99	$23.99	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.05 / $52.48	Professional		$16.60	$19.05	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $38.02 / $125.89	Facility		$23.99	$38.02	$125.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.62 / $37.15	Professional		$16.60	$18.62	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $45.71	Professional		$19.95	$30.20	$45.71
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $85.11	Professional		$23.99	$38.02	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.42 / $36.31	Facility		$13.18	$20.42	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.88 / $38.02	Professional		$15.49	$21.88	$38.02