Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $100.00 / $144.54	Facility		$45.71	$100.00	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $60.26	Professional		$45.71	$47.86	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $257.04	Facility		$52.48	$93.33	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $87.10	Professional		$48.98	$54.95	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $77.62	Professional		$50.12	$50.12	$77.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $77.62	Professional		$50.12	$50.12	$77.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $72.44	Professional		$50.12	$63.10	$72.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $120.23	Professional		$51.29	$70.79	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $52.48	Professional		$48.98	$48.98	$52.48