Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $134.90 / $199.53	Facility		$63.10	$134.90	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $66.07 / $81.28	Professional		$63.10	$66.07	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $144.54 / $436.52	Facility		$72.44	$144.54	$436.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $72.44	Professional		$21.38	$26.30	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $79.43	Professional		$67.61	$67.61	$79.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $79.43	Professional		$63.10	$67.61	$79.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $22.39 / $25.70	Professional		$17.78	$22.39	$25.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $457.09 / $776.25	Professional		$338.84	$457.09	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $72.44 / $316.23	Professional		$42.66	$72.44	$316.23