Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $66.07	Facility		$42.66	$57.54	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $41.69 / $54.95	Professional		$25.12	$41.69	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $36.31 / $87.10	Professional		$28.84	$36.31	$87.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $77.62	Facility		$32.36	$48.98	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $58.88 / $89.13	Professional		$42.66	$58.88	$89.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $40.74	Facility		$39.81	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $40.74 / $89.13	Facility		$39.81	$40.74	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $74.13	Professional		$37.15	$51.29	$74.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $77.62 / $144.54	Professional		$69.18	$77.62	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $28.18 / $43.65	Facility		$23.99	$28.18	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $30.90 / $43.65	Professional		$22.39	$30.90	$43.65