Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $37.04 / $51.00	Facility		$37.04	$37.04	$51.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.70 / $41.45 / $50.59	Professional		$29.70	$41.45	$50.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $38.47 / $63.82	Professional		$29.41	$38.47	$63.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.43 / $558.86 / $12,668.82	Facility		$37.43	$558.86	$12,668.82
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 $41.35 / $66.65 / $109.63	Professional		$41.35	$66.65	$109.63