Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $40.74	Facility		$37.15	$37.15	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $48.98	Professional		$30.20	$37.15	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $66.07	Professional		$31.62	$40.74	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $512.86 / $41,686.94	Facility		$34.67	$512.86	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $588.84 / $1,023.29	Professional		$45.71	$588.84	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $181.97	Professional		$16.22	$19.50	$181.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $181.97 / $181.97	Professional		$69.18	$181.97	$181.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $89.13	Facility		$29.51	$29.51	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $56.23 / $100.00	Professional		$36.31	$56.23	$100.00