Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $36.31 / $52.48	Professional		$22.91	$36.31	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $63.10 / $89.13	Facility		$58.88	$63.10	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $72.44	Professional		$23.99	$37.15	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $28.18 / $47.86	Facility		$3.16	$28.18	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $34.67 / $50.12	Professional		$4.17	$34.67	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $56.23	Facility		$36.31	$36.31	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $56.23	Professional		$30.90	$30.90	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $56.23	Facility		$36.31	$36.31	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $47.86	Professional		$30.90	$36.31	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $56.23	Professional		$28.18	$34.67	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $104.71	Professional		$52.48	$61.66	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $3.24 / $22.39 / $40.74	Facility		$3.24	$22.39	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $29.51 / $43.65	Professional		$19.05	$29.51	$43.65