Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $25.70 / $41.69	Facility		$16.22	$25.70	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.32 / $22.39	Professional		$7.41	$8.32	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $239.88 / $41,686.94	Facility		$15.85	$239.88	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $269.15 / $478.63	Professional		$20.89	$269.15	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $36.31	Facility		$11.22	$11.22	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $19.95 / $21.88	Professional		$13.80	$19.95	$21.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $70.79	Facility		$11.48	$17.78	$70.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $39.81	Professional		$14.79	$19.05	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $15.49 / $17.38	Facility		$6.17	$15.49	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $19.95	Professional		$7.24	$10.23	$19.95