Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $57.54 / $117.49	Facility		$42.66	$57.54	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Professional		$41.69	$41.69	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $45.71	Professional		$16.22	$20.89	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $42.66 / $48.98	Facility		$41.69	$42.66	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $660.69 / $1,174.90	Professional		$52.48	$660.69	$1,174.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $54.95	Facility		$27.54	$27.54	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $48.98 / $60.26	Professional		$27.54	$48.98	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $245.47	Facility		$20.89	$27.54	$245.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $52.48	Professional		$42.66	$42.66	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $34.67 / $51.29	Professional		$31.62	$34.67	$51.29
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $44.67 / $85.11	Professional		$27.54	$44.67	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $27.54 / $42.66	Facility		$15.14	$27.54	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.44 / $44.67	Professional		$16.22	$23.44	$44.67