Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $93.33 / $138.04	Facility		$43.65	$93.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $56.23	Professional		$43.65	$44.67	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $69.18	Professional		$43.65	$46.77	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $74.13	Professional		$46.77	$46.77	$74.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $74.13	Professional		$46.77	$46.77	$74.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $63.10	Professional		$43.65	$53.70	$63.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $50.12	Professional		$45.71	$45.71	$50.12