Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $89.13	Facility		$44.67	$44.67	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $77.62	Professional		$39.81	$46.77	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $100.00 / $199.53	Facility		$93.33	$100.00	$199.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $56.23 / $120.23	Professional		$46.77	$56.23	$120.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $74.13 / $117.49	Facility		$48.98	$74.13	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $131.83	Professional		$64.57	$89.13	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $60.26	Professional		$43.65	$43.65	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $56.23 / $81.28	Professional		$39.81	$56.23	$81.28
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $194.98	Professional		$93.33	$104.71	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $104.71	Facility		$40.74	$67.61	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $69.18	Professional		$30.90	$45.71	$69.18