Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $457.09	Facility		$46.77	$85.11	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $46.77 / $75.86	Professional		$34.67	$46.77	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $95.50 / $194.98	Facility		$91.20	$95.50	$194.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $52.48 / $114.82	Professional		$43.65	$52.48	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $67.61 / $107.15	Facility		$44.67	$67.61	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $120.23	Professional		$57.54	$81.28	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $56.23	Professional		$40.74	$40.74	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $56.23 / $112.20	Facility		$54.95	$56.23	$112.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $56.23	Professional		$40.74	$40.74	$56.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $39.81 / $56.23	Professional		$28.18	$39.81	$56.23
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $102.33 / $186.21	Professional		$91.20	$102.33	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $42.66 / $91.20	Facility		$30.20	$42.66	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $42.66 / $60.26	Professional		$29.51	$42.66	$60.26