Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $199.53	Facility		$67.61	$112.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $67.61 / $100.00	Professional		$7.08	$67.61	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $104.71	Professional		$45.71	$53.70	$104.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $1,318.26 / $2,344.23	Professional		$102.33	$1,318.26	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $177.83	Facility		$54.95	$54.95	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $95.50 / $120.23	Professional		$54.95	$95.50	$120.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $87.10 / $177.83	Facility		$54.95	$87.10	$177.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $165.96	Professional		$54.95	$87.10	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $54.95 / $83.18	Facility		$30.20	$54.95	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $50.12 / $83.18	Professional		$35.48	$50.12	$83.18