Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $67.00	Facility		$37.04	$37.04	$67.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.33 / $37.47 / $48.48	Professional		$30.33	$37.47	$48.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $39.52 / $63.82	Professional		$29.41	$39.52	$63.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $558.86 / $12,648.86	Facility		$37.43	$558.86	$12,648.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $582.99 / $1,028.81	Professional		$38.86	$582.99	$1,028.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Facility		$48.84	$48.84	$48.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.53 / $183.98	Professional		$16.30	$19.53	$183.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.84 / $48.84 / $48.84	Facility		$48.84	$48.84	$48.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $68.88 / $183.98 / $183.98	Professional		$68.88	$183.98	$183.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.69 / $64.61 / $109.63	Professional		$40.69	$64.61	$109.63