Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $60.26	Facility		$23.44	$37.15	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.95 / $30.20	Professional		$15.14	$19.95	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $74.13 / $128.82	Professional		$28.84	$74.13	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $346.74 / $41,686.94	Facility		$22.91	$346.74	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $389.05 / $691.83	Professional		$30.90	$389.05	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $85.11	Facility		$16.22	$16.22	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $28.84 / $31.62	Professional		$14.79	$28.84	$31.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $102.33	Facility		$16.60	$25.70	$102.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $27.54 / $57.54	Professional		$21.38	$27.54	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $22.39 / $25.12	Facility		$8.91	$22.39	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $28.84	Professional		$10.47	$15.14	$28.84