Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $61.66 / $102.33	Facility		$33.11	$61.66	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.11 / $63.10	Professional		$23.99	$33.11	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $42.66 / $74.13	Facility		$37.15	$42.66	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $93.33	Professional		$16.22	$20.89	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $138.04	Facility		$26.30	$26.30	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $29.51 / $74.13	Professional		$16.98	$29.51	$74.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $41.69 / $138.04	Facility		$30.20	$41.69	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.30 / $74.13	Professional		$16.98	$26.30	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $50.12	Professional		$30.20	$36.31	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $50.12 / $95.50	Professional		$34.67	$50.12	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $29.51 / $36.31	Facility		$14.79	$29.51	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $38.02 / $58.88	Professional		$22.39	$38.02	$58.88