Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $58.88 / $85.11	Facility		$33.11	$58.88	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $41.69	Professional		$20.89	$28.18	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $44.67	Professional		$19.05	$21.88	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $489.78 / $41,686.94	Facility		$32.36	$489.78	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $549.54 / $977.24	Professional		$42.66	$549.54	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $74.13	Facility		$22.91	$22.91	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $44.67	Professional		$28.18	$40.74	$44.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $144.54	Facility		$23.44	$36.31	$144.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $81.28	Professional		$29.51	$38.90	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $35.48	Facility		$12.59	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $40.74	Professional		$14.79	$20.89	$40.74