Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $125.89 / $194.98	Facility		$66.07	$125.89	$194.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $147.91	Professional		$60.26	$67.61	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $87.10 / $151.36	Facility		$75.86	$87.10	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $100.00	Professional		$33.88	$43.65	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $93.33	Facility		$64.57	$64.57	$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 $53.70 / $53.70 / $281.84	Facility		$53.70	$53.70	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $117.49	Professional		$37.15	$44.67	$117.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $85.11 / $281.84	Facility		$53.70	$85.11	$281.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $95.50	Professional		$37.15	$44.67	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $102.33	Professional		$54.95	$67.61	$102.33
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $85.11 / $190.55	Professional		$53.70	$85.11	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $81.28	Facility		$29.51	$52.48	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $48.98 / $95.50	Professional		$34.67	$48.98	$95.50