Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $66.07 / $229.09	Facility		$28.84	$66.07	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $31.62 / $53.70	Professional		$25.70	$31.62	$53.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.39 / $47.86	Professional		$17.38	$22.39	$47.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $23.44 / $147.91	Facility		$22.91	$23.44	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $67.61	Professional		$17.78	$31.62	$67.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $38.90 / $147.91	Facility		$31.62	$38.90	$147.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $69.18	Professional		$17.78	$31.62	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $43.65	Professional		$26.30	$31.62	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $81.28	Professional		$29.51	$43.65	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $35.48	Facility		$12.59	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $48.98	Professional		$14.79	$20.89	$48.98