Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $50.12 / $64.57	Facility		$37.15	$50.12	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $37.15 / $53.70	Professional		$25.70	$37.15	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $33.11 / $72.44	Professional		$28.18	$33.11	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $72.44 / $81.28	Facility		$61.66	$72.44	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $83.18	Professional		$81.28	$81.28	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $25.70	Professional		$21.38	$25.70	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.70 / $25.70	Professional		$21.38	$25.70	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $61.66	Professional		$37.15	$44.67	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $141.25	Professional		$60.26	$67.61	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $27.54 / $38.02	Professional		$17.78	$27.54	$38.02