Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $41.69	Facility		$23.99	$23.99	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $40.74	Professional		$20.89	$25.12	$40.74
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 / $32.36 / $89.13	Professional		$24.55	$32.36	$89.13
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 $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $39.81	Professional		$33.88	$33.88	$39.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $43.65 / $63.10	Professional		$27.54	$43.65	$63.10
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 $20.42 / $33.88 / $52.48	Facility		$20.42	$33.88	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $34.67	Professional		$16.98	$25.12	$34.67