Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $77.62	Facility		$29.51	$43.65	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $37.15	Professional		$20.89	$25.12	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $33.11 / $57.54	Facility		$28.84	$33.11	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.80 / $34.67	Professional		$2.51	$3.80	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $36.31	Facility		$21.38	$21.38	$36.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $489.78 / $870.96	Professional		$38.90	$489.78	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $66.07	Facility		$20.42	$20.42	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $36.31 / $44.67	Professional		$20.42	$36.31	$44.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $32.36 / $66.07	Facility		$20.42	$32.36	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $33.11 / $61.66	Professional		$20.42	$33.11	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $20.42 / $31.62	Facility		$11.22	$20.42	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.62 / $31.62	Professional		$13.18	$18.62	$31.62