Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $309.03	Facility		$21.88	$57.54	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $23.99 / $48.98	Professional		$17.78	$23.99	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $38.90	Professional		$13.49	$16.60	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.59 / $1.02 / $134.90	Facility		$0.59	$1.02	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $15.49 / $33.88	Professional		$8.32	$15.49	$33.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $33.11 / $134.90	Facility		$1.02	$33.11	$134.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $21.88	Professional		$9.77	$15.14	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $56.23	Professional		$29.51	$44.67	$56.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $16.98 / $338.84	Facility		$9.33	$16.98	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.49 / $27.54	Professional		$7.59	$13.49	$27.54