Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $64.57 / $120.23	Professional		$56.23	$64.57	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $77.62 / $128.82	Professional		$63.10	$77.62	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $89.13	Facility		$51.29	$69.18	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $85.11	Professional		$75.86	$75.86	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $93.33 / $158.49	Professional		$66.07	$93.33	$158.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $91.20 / $154.88	Professional		$66.07	$91.20	$154.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $147.91	Professional		$66.07	$77.62	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $83.18 / $134.90	Professional		$60.26	$83.18	$134.90