Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $79.43 / $112.20	Facility		$44.67	$79.43	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.02 / $56.23	Professional		$28.18	$38.02	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $100.00	Professional		$52.48	$58.88	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $660.69 / $41,686.94	Facility		$43.65	$660.69	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $741.31 / $1,288.25	Professional		$57.54	$741.31	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $100.00	Facility		$30.90	$30.90	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $60.26	Professional		$54.95	$54.95	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $194.98	Facility		$31.62	$47.86	$194.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $51.29 / $109.65	Professional		$39.81	$51.29	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $42.66 / $46.77	Facility		$16.98	$42.66	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $53.70	Professional		$19.95	$28.18	$53.70