Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $25.12 / $32.36	Professional		$14.13	$25.12	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.46 / $13.49	Professional		$5.01	$6.46	$13.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $616.60 / $41,686.94	Facility		$40.74	$616.60	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $691.83 / $1,230.27	Professional		$54.95	$691.83	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $21,379.62	Facility		$69.18	$69.18	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $194.98	Professional		$35.48	$52.48	$194.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $21,379.62	Facility		$69.18	$69.18	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $169.82 / $169.82	Professional		$35.48	$169.82	$169.82
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 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 $2.69 / $2.69 / $2.69	Facility		$2.69	$2.69	$2.69
United Facility/Professional Professional Modifier Low / Median / High Price $2.57 / $17.38 / $35.48	Professional		$2.57	$17.38	$35.48