Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $93.33 / $138.04	Facility		$50.12	$93.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $69.18	Professional		$48.98	$50.12	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $81.28 / $177.83	Facility		$53.70	$81.28	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $87.10	Professional		$50.12	$54.95	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Facility		$46.77	$46.77	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $50.12	Facility		$46.77	$46.77	$50.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $75.86	Professional		$50.12	$50.12	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $54.95 / $70.79	Professional		$33.11	$54.95	$70.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $83.18 / $114.82	Professional		$48.98	$83.18	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50.12 / $50.12	Facility		$48.98	$50.12	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $50.12 / $53.70	Professional		$48.98	$50.12	$53.70