Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $26.37 / $88.00	Facility		$26.37	$26.37	$88.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.97 / $35.59 / $55.04	Professional		$23.97	$35.59	$55.04
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 $19.89 / $297.17 / $12,653.35	Facility		$19.89	$297.17	$12,653.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.67 / $310.00 / $547.04	Professional		$20.67	$310.00	$547.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.53 / $112.26	Professional		$16.30	$19.53	$112.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $36.90 / $36.90	Facility		$36.90	$36.90	$36.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.85 / $112.26 / $112.26	Professional		$47.85	$112.26	$112.26
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 $39.56 / $62.54 / $105.92	Professional		$39.56	$62.54	$105.92