Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $186.21 / $1,412.54	Facility		$57.54	$186.21	$1,412.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $47.86 / $102.33	Professional		$30.20	$47.86	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $79.43	Professional		$50.12	$64.57	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $23.99 / $60,255.96	Facility		$1.20	$23.99	$60,255.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.35 / $13.49 / $39.81	Professional		$1.35	$13.49	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $309.03 / $407.38	Facility		$141.25	$309.03	$407.38
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $17.38 / $52.48	Professional		$9.33	$17.38	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $5.01 / $10.47	Professional		$2.14	$5.01	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86