Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $52.48 / $123.03	Facility		$38.90	$52.48	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $74.13	Professional		$36.31	$41.69	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $151.36	Professional		$42.66	$72.44	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $64.57 / $128.82	Facility		$34.67	$64.57	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $100.00	Professional		$39.81	$53.70	$100.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $128.82	Facility		$64.57	$64.57	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $87.10	Professional		$38.90	$53.70	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $89.13	Professional		$36.31	$47.86	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $47.86 / $85.11	Professional		$36.31	$47.86	$85.11