Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $81.28 / $131.83	Facility		$47.86	$81.28	$131.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $47.86 / $63.10	Professional		$46.77	$47.86	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $89.13 / $245.47	Facility		$51.29	$89.13	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $83.18	Professional		$47.86	$54.95	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $64.57	Professional		$47.86	$47.86	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $72.44	Facility		$44.67	$44.67	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $60.26	Professional		$47.86	$47.86	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $47.86 / $63.10	Facility		$44.67	$47.86	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $67.61	Professional		$47.86	$47.86	$67.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $67.61	Professional		$47.86	$52.48	$67.61
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $58.88 / $91.20	Professional		$47.86	$58.88	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $47.86 / $48.98	Professional		$45.71	$47.86	$48.98