Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $70.79 / $134.90	Facility		$39.81	$70.79	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $263.03	Facility		$43.65	$87.10	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $69.18	Professional		$39.81	$44.67	$69.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $48.98	Professional		$36.31	$36.31	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $85.11	Facility		$38.02	$38.02	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $61.66	Professional		$39.81	$39.81	$61.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $39.81 / $85.11	Facility		$38.02	$39.81	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $64.57	Professional		$39.81	$39.81	$64.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $56.23	Professional		$36.31	$43.65	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $79.43	Professional		$39.81	$48.98	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $41.69 / $48.98	Professional		$38.02	$41.69	$48.98