Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.88 / $173.78	Facility		$18.62	$33.88	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $44.67	Professional		$18.20	$21.88	$44.67
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $39.81	Professional		$16.22	$21.88	$39.81
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $30.20 / $39.81	Facility		$19.50	$30.20	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $52.48 / $141.25	Facility		$50.12	$52.48	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $54.95	Professional		$23.44	$36.31	$54.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $87.10 / $128.82	Facility		$53.70	$87.10	$128.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $38.02 / $56.23	Professional		$23.99	$38.02	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $58.88	Professional		$31.62	$36.31	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $30.90	Facility		$25.12	$25.12	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $28.84 / $36.31	Professional		$20.42	$28.84	$36.31