Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $44.67	Facility		$17.38	$27.54	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $22.91	Professional		$12.88	$15.14	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.45 / $19.05	Professional		$2.09	$2.45	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $295.12 / $524.81	Professional		$22.91	$295.12	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $38.90	Facility		$12.02	$12.02	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $21.38 / $26.92	Professional		$12.02	$21.38	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $38.90	Facility		$12.02	$19.05	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.50 / $37.15	Professional		$12.02	$19.50	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.02 / $18.62	Facility		$6.76	$12.02	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.22 / $19.95	Professional		$7.76	$11.22	$19.95