Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $67.61 / $102.33	Facility		$37.15	$67.61	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $37.15 / $56.23	Professional		$36.31	$37.15	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $58.88 / $131.83	Facility		$39.81	$58.88	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $41.69 / $63.10	Professional		$37.15	$41.69	$63.10
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
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 $34.67 / $34.67 / $56.23	Facility		$34.67	$34.67	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $52.48	Professional		$37.15	$37.15	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $52.48	Facility		$34.67	$37.15	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $56.23	Professional		$37.15	$37.15	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $40.74 / $53.70	Professional		$36.31	$40.74	$53.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $70.79	Professional		$37.15	$45.71	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $37.15 / $37.15	Facility		$36.31	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $37.15 / $42.66	Professional		$34.67	$37.15	$42.66