Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $63.10 / $91.20	Facility		$29.51	$63.10	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $30.20 / $38.02	Professional		$28.84	$30.20	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $57.54	Professional		$32.36	$36.31	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $13.80	Facility		$10.00	$11.48	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $14.79	Professional		$11.48	$11.48	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $85.11	Facility		$31.62	$31.62	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $37.15	Professional		$31.62	$31.62	$37.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $85.11	Facility		$31.62	$31.62	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $37.15	Professional		$31.62	$31.62	$37.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.48 / $46.77	Professional		$32.36	$35.48	$46.77
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $70.79 / $87.10	Professional		$22.39	$70.79	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.90 / $34.67	Professional		$29.51	$30.90	$34.67