Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $95.50 / $147.91	Facility		$53.70	$95.50	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $70.79	Professional		$52.48	$53.70	$70.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.00 / $346.74	Facility		$57.54	$100.00	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $91.20	Professional		$53.70	$60.26	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $70.79	Professional		$52.48	$52.48	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $72.44	Facility		$50.12	$50.12	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $67.61	Professional		$53.70	$53.70	$67.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $85.11	Facility		$50.12	$53.70	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $77.62	Professional		$52.48	$58.88	$77.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $102.33	Professional		$53.70	$61.66	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $53.70 / $53.70	Facility		$52.48	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $58.88	Professional		$50.12	$53.70	$58.88