Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $186.21 / $218.78	Facility		$69.18	$186.21	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $69.18 / $85.11	Professional		$63.10	$69.18	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $154.88 / $467.74	Facility		$77.62	$154.88	$467.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $109.65	Professional		$56.23	$67.61	$109.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $109.65	Professional		$74.13	$74.13	$109.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $109.65	Professional		$74.13	$74.13	$109.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $81.28	Professional		$56.23	$69.18	$81.28
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $109.65 / $186.21	Professional		$83.18	$109.65	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $75.86 / $81.28	Professional		$72.44	$75.86	$81.28