Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $50.12 / $61.66	Facility		$33.88	$50.12	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $50.12	Professional		$25.12	$33.11	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $69.18 / $141.25	Facility		$66.07	$69.18	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $37.15 / $83.18	Professional		$31.62	$37.15	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $77.62	Facility		$32.36	$48.98	$77.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $58.88 / $87.10	Professional		$41.69	$58.88	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $87.10	Facility		$38.02	$38.02	$87.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.02	Professional		$28.18	$28.18	$38.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $54.95 / $81.28	Professional		$35.48	$54.95	$81.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $74.13 / $134.90	Professional		$66.07	$74.13	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $66.07	Facility		$21.88	$30.90	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $43.65	Professional		$21.38	$30.90	$43.65