Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $147.91 / $147.91	Facility		$44.67	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $47.86 / $64.57	Professional		$41.69	$47.86	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $87.10	Professional		$38.02	$52.48	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $38.02	Facility		$33.11	$33.11	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $117.49	Professional		$44.67	$63.10	$117.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $63.10 / $100.00	Professional		$45.71	$63.10	$100.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $32.36 / $33.11	Professional		$30.20	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $75.86	Professional		$43.65	$52.48	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $54.95 / $104.71	Professional		$38.90	$54.95	$104.71