Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $138.04	Professional		$85.11	$107.15	$138.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $181.97 / $257.04	Facility		$173.78	$181.97	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $269.15	Professional		$91.20	$128.82	$269.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $81.28 / $162.18	Facility		$9.33	$81.28	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $91.20 / $147.91	Professional		$12.30	$91.20	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $162.18	Facility		$70.79	$70.79	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $147.91	Professional		$51.29	$60.26	$147.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $162.18	Facility		$70.79	$70.79	$162.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $147.91	Professional		$51.29	$60.26	$147.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $194.98	Professional		$97.72	$120.23	$194.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $288.40	Professional		$147.91	$173.78	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $66.07 / $123.03	Facility		$8.51	$66.07	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $81.28 / $128.82	Professional		$54.95	$81.28	$128.82