Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $77.62 / $114.82	Facility		$36.31	$77.62	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $46.77	Professional		$36.31	$37.15	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $245.47	Facility		$40.74	$81.28	$245.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $72.44	Professional		$40.74	$45.71	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $72.44	Facility		$38.90	$38.90	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $45.71	Professional		$38.90	$38.90	$45.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $43.65	Facility		$38.90	$38.90	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $45.71	Professional		$38.90	$38.90	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $44.67 / $60.26	Professional		$40.74	$44.67	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $70.79 / $87.10	Professional		$46.77	$70.79	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $38.02 / $42.66	Professional		$36.31	$38.02	$42.66