Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $131.83	Facility		$70.79	$89.13	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $95.50 / $123.03	Professional		$70.79	$95.50	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $144.54 / $213.80	Facility		$138.04	$144.54	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $112.20 / $223.87	Professional		$100.00	$112.20	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $75.86 / $114.82	Facility		$10.72	$75.86	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $95.50 / $144.54	Professional		$12.59	$95.50	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $138.04	Facility		$95.50	$95.50	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $120.23	Professional		$81.28	$81.28	$120.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $138.04	Facility		$95.50	$95.50	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $229.09	Professional		$114.82	$158.49	$229.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $416.87	Professional		$151.36	$218.78	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $72.44 / $112.20	Facility		$9.55	$72.44	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $89.13 / $141.25	Professional		$48.98	$89.13	$141.25