Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $131.83 / $380.19	Facility		$45.71	$131.83	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $109.65 / $199.53	Professional		$39.81	$109.65	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $363.08	Professional		$66.07	$162.18	$363.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $43.65 / $50.12	Facility		$38.90	$43.65	$50.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $47.86	Professional		$42.66	$42.66	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $66.07 / $194.98	Facility		$56.23	$66.07	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $120.23 / $245.47	Professional		$43.65	$120.23	$245.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $194.98	Facility		$66.07	$66.07	$194.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $120.23 / $239.88	Professional		$43.65	$120.23	$239.88
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 Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $107.15 / $199.53	Professional		$37.15	$107.15	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $794.33 / $954.99	Facility		$660.69	$794.33	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $93.33 / $190.55	Professional		$37.15	$93.33	$190.55