Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $64.57 / $173.78	Facility		$24.55	$64.57	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.95 / $61.66	Professional		$14.13	$19.95	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $25.70 / $50.12	Professional		$13.49	$25.70	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $22.39 / $28.18	Facility		$17.78	$22.39	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $30.90	Professional		$22.39	$26.92	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $57.54 / $128.82	Facility		$21.88	$57.54	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.51 / $48.98	Professional		$19.95	$29.51	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $97.72 / $234.42	Facility		$38.90	$97.72	$234.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $48.98	Professional		$19.95	$30.20	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $32.36 / $33.11	Professional		$19.50	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $45.71	Professional		$23.99	$28.18	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $23.99	Facility		$19.05	$19.05	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $44.67	Professional		$15.85	$25.12	$44.67