Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $87.10 / $5,248.07	Facility		$42.66	$87.10	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $56.23	Professional		$42.66	$42.66	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $79.43 / $223.87	Facility		$46.77	$79.43	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $47.86 / $75.86	Professional		$42.66	$47.86	$75.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Facility		$40.74	$40.74	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $69.18	Professional		$42.66	$42.66	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Facility		$40.74	$40.74	$42.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $69.18	Professional		$42.66	$42.66	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $53.70 / $61.66	Professional		$42.66	$53.70	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $102.33	Professional		$43.65	$74.13	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $46.77	Professional		$42.66	$42.66	$46.77