Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $46.77 / $63.10	Professional		$36.31	$46.77	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $85.11 / $120.23	Facility		$79.43	$85.11	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $138.04	Professional		$58.88	$64.57	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $40.74 / $69.18	Facility		$4.57	$40.74	$69.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $46.77 / $79.43	Professional		$6.03	$46.77	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Facility		$47.86	$47.86	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $75.86	Professional		$40.74	$40.74	$75.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $75.86	Facility		$47.86	$47.86	$75.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $63.10	Professional		$40.74	$47.86	$63.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $112.20	Professional		$45.71	$70.79	$112.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $87.10 / $147.91	Professional		$74.13	$87.10	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $33.11 / $54.95	Facility		$4.47	$33.11	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $41.69 / $64.57	Professional		$26.30	$41.69	$64.57