Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.99 / $190.55	Facility		$21.88	$23.99	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $37.15	Professional		$16.98	$23.99	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $72.44	Professional		$33.11	$43.65	$72.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $338.84 / $41,686.94	Facility		$22.39	$338.84	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $380.19 / $660.69	Professional		$29.51	$380.19	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $112.20 / $112.20	Professional		$34.67	$112.20	$112.20
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 $45.71 / $45.71 / $45.71	Facility		$45.71	$45.71	$45.71
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 $1,047.13 / $2,951.21 / $6,760.83	Facility		$1,047.13	$2,951.21	$6,760.83
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $43.65	Professional		$19.95	$28.18	$43.65