Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $33.88 / $91.20	Facility		$13.18	$33.88	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $40.74	Professional		$7.94	$10.00	$40.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $27.54 / $43.65	Professional		$19.95	$27.54	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $81.28	Facility		$28.84	$57.54	$81.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $50.12	Professional		$32.36	$33.11	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $45.71 / $77.62	Professional		$34.67	$45.71	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Facility		$93.33	$93.33	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $22.39 / $33.88	Professional		$13.49	$22.39	$33.88