Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $75.86 / $128.82	Facility		$34.67	$75.86	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $97.72	Professional		$22.91	$28.84	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $36.31 / $63.10	Facility		$31.62	$36.31	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $50.12	Professional		$19.50	$25.12	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $131.83	Facility		$22.39	$22.39	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.90 / $66.07	Professional		$17.38	$30.90	$66.07
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $43.65 / $131.83	Facility		$30.90	$43.65	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $35.48 / $85.11	Professional		$17.38	$35.48	$85.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $42.66	Professional		$25.70	$30.90	$42.66
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 / $42.66 / $79.43	Professional		$29.51	$42.66	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.90 / $38.02	Facility		$12.30	$30.90	$38.02
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $34.67 / $54.95	Professional		$20.89	$34.67	$54.95