Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $93.33	Facility		$64.57	$64.57	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $93.33	Professional		$58.88	$67.61	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $51.29 / $91.20	Professional		$35.48	$51.29	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $54.95	Facility		$47.86	$47.86	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $112.20	Facility		$107.15	$107.15	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $162.18	Professional		$63.10	$89.13	$162.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $89.13 / $134.90	Professional		$63.10	$89.13	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Optum Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $154.88	Professional		$69.18	$97.72	$154.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $144.54	Professional		$57.54	$81.28	$144.54