Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $69.18	Professional		$43.65	$51.29	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $134.90	Facility		$91.20	$95.50	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $120.23	Professional		$56.23	$69.18	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $42.66 / $83.18	Facility		$4.57	$42.66	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $51.29 / $77.62	Professional		$6.03	$51.29	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $87.10	Facility		$44.67	$44.67	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $87.10	Professional		$38.02	$38.02	$87.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $87.10	Facility		$44.67	$44.67	$87.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $44.67 / $74.13	Professional		$38.02	$44.67	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $66.07 / $104.71	Professional		$52.48	$66.07	$104.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $158.49	Professional		$79.43	$93.33	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $31.62 / $60.26	Facility		$3.80	$31.62	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $63.10	Professional		$27.54	$41.69	$63.10