Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $39.81 / $64.57	Facility		$20.89	$39.81	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $42.66	Professional		$19.05	$21.88	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $27.54 / $47.86	Facility		$23.99	$27.54	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.22 / $35.48	Professional		$12.88	$16.22	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $104.71	Facility		$16.98	$16.98	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $64.57	Professional		$13.18	$25.70	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $104.71	Facility		$23.44	$28.84	$104.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.44 / $61.66	Professional		$13.18	$23.44	$61.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.44 / $32.36	Professional		$19.50	$23.44	$32.36
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $32.36 / $60.26	Professional		$22.39	$32.36	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.50 / $23.44	Facility		$9.33	$19.50	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.49 / $36.31	Professional		$10.96	$15.49	$36.31