Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $81.28 / $144.54	Facility		$38.90	$81.28	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $79.43	Professional		$28.18	$38.90	$79.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $51.29 / $89.13	Facility		$44.67	$51.29	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $24.55 / $63.10	Professional		$19.50	$24.55	$63.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $165.96	Facility		$31.62	$31.62	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $38.90 / $89.13	Professional		$21.88	$38.90	$89.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $50.12 / $165.96	Facility		$38.90	$50.12	$165.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $87.10	Professional		$21.88	$34.67	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $60.26	Professional		$36.31	$43.65	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $112.20	Professional		$40.74	$58.88	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $43.65 / $47.86	Facility		$17.38	$43.65	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $54.95	Professional		$20.42	$28.84	$54.95