Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $4,073.80 / $16,982.44	Facility		$37.15	$4,073.80	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $5,623.41	Professional		$30.20	$30.90	$5,623.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $48.98 / $107.15	Facility		$32.36	$48.98	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $54.95	Professional		$30.20	$33.88	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Professional		$39.81	$39.81	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Facility		$24.55	$24.55	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $134.90	Professional		$30.20	$30.20	$134.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $31.62 / $138.04	Facility		$24.55	$31.62	$138.04
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $134.90	Professional		$30.20	$30.20	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $36.31 / $42.66	Professional		$29.51	$36.31	$42.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $52.48 / $72.44	Professional		$33.11	$52.48	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.20 / $30.20	Facility		$29.51	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $47.86	Professional		$30.20	$42.66	$47.86