Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $83.18 / $147.91	Professional		$46.77	$83.18	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $56.23 / $97.72	Professional		$45.71	$56.23	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $1,000.00 / $1,778.28	Professional		$79.43	$1,000.00	$1,778.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $741.31	Facility		$229.09	$229.09	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $165.96 / $316.23	Professional		$45.71	$165.96	$316.23