Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $165.96	Facility		$53.70	$100.00	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $53.70 / $72.44	Professional		$52.48	$53.70	$72.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $100.00 / $275.42	Facility		$57.54	$100.00	$275.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $93.33	Professional		$53.70	$61.66	$93.33
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 $51.29 / $51.29 / $72.44	Facility		$51.29	$51.29	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $69.18	Professional		$53.70	$53.70	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $53.70 / $69.18	Facility		$48.98	$53.70	$69.18
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 / $75.86	Professional		$52.48	$58.88	$75.86
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $66.07 / $102.33	Professional		$53.70	$66.07	$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 $48.98 / $53.70 / $60.26	Professional		$48.98	$53.70	$60.26