Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $38.90 / $47.86	Facility		$26.92	$38.90	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.70 / $38.90	Professional		$19.95	$25.70	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $54.95 / $109.65	Facility		$51.29	$54.95	$109.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $29.51 / $66.07	Professional		$24.55	$29.51	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $38.02 / $61.66	Facility		$25.70	$38.02	$61.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $45.71 / $69.18	Professional		$33.11	$45.71	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $33.88	Professional		$24.55	$24.55	$33.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $69.18	Facility		$33.88	$33.88	$69.18
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 $26.30 / $37.15 / $52.48	Professional		$26.30	$37.15	$52.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $57.54 / $107.15	Professional		$51.29	$57.54	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $24.55 / $52.48	Facility		$17.38	$24.55	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $34.67	Professional		$16.98	$23.99	$34.67