Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $107.15 / $120.23	Facility		$69.18	$107.15	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $549.54 / $1,047.13	Professional		$40.74	$549.54	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $389.05	Professional		$169.82	$223.87	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $588.84 / $41,686.94	Facility		$38.90	$588.84	$41,686.94
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 $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $199.53	Professional		$31.62	$39.81	$199.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $199.53	Professional		$31.62	$39.81	$199.53
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 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility		$1,174.90	$1,174.90	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $1,023.29 / $1,819.70	Professional		$144.54	$1,023.29	$1,819.70