Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $64.57 / $104.71	Facility		$33.11	$64.57	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $34.67 / $69.18	Professional		$30.90	$34.67	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $43.65 / $77.62	Facility		$38.02	$43.65	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $26.30 / $56.23	Professional		$20.42	$26.30	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
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 $26.92 / $26.92 / $158.49	Facility		$26.92	$26.92	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $81.28	Professional		$21.38	$38.02	$81.28
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $158.49	Facility		$37.15	$42.66	$158.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $38.02 / $83.18	Professional		$21.38	$38.02	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $51.29	Professional		$31.62	$37.15	$51.29
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 $35.48 / $51.29 / $97.72	Professional		$35.48	$51.29	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $37.15 / $41.69	Facility		$15.14	$37.15	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.12 / $57.54	Professional		$17.38	$25.12	$57.54