Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $131.83	Professional		$74.13	$87.10	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $158.49 / $223.87	Facility		$147.91	$158.49	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $245.47	Professional		$114.82	$117.49	$245.47
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $165.96 / $173.78	Professional		$162.18	$165.96	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $81.28 / $125.89	Facility		$8.32	$81.28	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $93.33 / $147.91	Professional		$10.72	$93.33	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $123.03	Facility		$95.50	$95.50	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $147.91	Professional		$81.28	$81.28	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $123.03	Facility		$95.50	$95.50	$123.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $123.03	Professional		$81.28	$95.50	$123.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $138.04 / $218.78	Professional		$109.65	$138.04	$218.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $165.96 / $275.42	Professional		$141.25	$165.96	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $63.10 / $104.71	Facility		$7.94	$63.10	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $117.49	Professional		$48.98	$79.43	$117.49