Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $91.20 / $112.20	Facility		$61.66	$91.20	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $91.20	Professional		$53.70	$64.57	$91.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $125.89 / $257.04	Facility		$120.23	$125.89	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $151.36	Professional		$57.54	$70.79	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $158.49	Facility		$66.07	$97.72	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $177.83	Professional		$85.11	$117.49	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $177.83	Facility		$75.86	$75.86	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $75.86	Professional		$54.95	$54.95	$75.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $102.33	Professional		$51.29	$70.79	$102.33
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $245.47	Professional		$120.23	$134.90	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $64.57 / $134.90	Facility		$47.86	$64.57	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $57.54 / $87.10	Professional		$38.90	$57.54	$87.10