Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $30.20	Facility		$25.70	$25.70	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $38.02 / $54.95	Professional		$22.91	$38.02	$54.95
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 $18.20 / $275.42 / $41,686.94	Facility		$18.20	$275.42	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $309.03 / $549.54	Professional		$24.55	$309.03	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $19.50 / $112.20	Professional		$16.22	$19.50	$112.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $112.20 / $112.20	Professional		$47.86	$112.20	$112.20
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 $33.88 / $56.23 / $100.00	Professional		$33.88	$56.23	$100.00