Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $346.74 / $1,122.02	Facility		$22.39	$346.74	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $69.18 / $436.52	Professional		$19.95	$69.18	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $74.13	Professional		$18.20	$25.70	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $89.13 / $489.78	Professional		$20.89	$89.13	$489.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $645.65 / $1,202.26	Facility		$436.52	$645.65	$1,202.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $128.82 / $478.63	Professional		$19.95	$128.82	$478.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $33.11	Professional		$25.12	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $72.44 / $537.03	Professional		$19.50	$72.44	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $812.83 / $977.24	Facility		$812.83	$812.83	$977.24
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $147.91 / $316.23	Professional		$18.62	$147.91	$316.23