Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $100.00 / $177.83	Facility		$31.62	$100.00	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $57.54 / $125.89	Professional		$28.18	$57.54	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $56.23 / $131.83	Professional		$28.18	$56.23	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $53.70 / $144.54	Facility		$27.54	$53.70	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $66.07 / $177.83	Professional		$32.36	$66.07	$177.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $64.57 / $173.78	Professional		$30.90	$64.57	$173.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $32.36 / $33.11	Professional		$16.98	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $85.11 / $245.47	Professional		$28.84	$85.11	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $741.31 / $891.25	Facility		$85.11	$741.31	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $58.88 / $125.89	Professional		$29.51	$58.88	$125.89