Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $45.71 / $56.23	Facility		$32.36	$45.71	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $45.71	Professional		$22.91	$30.90	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $64.57 / $131.83	Facility		$61.66	$64.57	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $34.67 / $77.62	Professional		$28.84	$34.67	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $72.44	Facility		$30.20	$44.67	$72.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $81.28	Professional		$38.90	$53.70	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $33.11	Professional		$24.55	$24.55	$33.11
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $81.28	Facility		$33.11	$33.11	$81.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $33.11	Professional		$24.55	$24.55	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $26.30	Professional		$12.88	$18.20	$26.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $67.61 / $125.89	Professional		$61.66	$67.61	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $28.84 / $61.66	Facility		$20.42	$28.84	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $40.74	Professional		$19.95	$28.18	$40.74