Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $162.18	Professional		$54.95	$102.33	$162.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $50.12 / $173.78	Professional		$38.90	$50.12	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $77.62 / $141.25	Facility		$45.71	$77.62	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $131.83 / $194.98	Facility		$100.00	$131.83	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $93.33 / $239.88	Professional		$47.86	$93.33	$239.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $194.98	Facility		$194.98	$194.98	$194.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $239.88	Professional		$47.86	$77.62	$239.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $281.84	Professional		$102.33	$151.36	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $43.65 / $72.44	Facility		$28.84	$43.65	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $102.33 / $204.17	Professional		$51.29	$102.33	$204.17