Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $57.54	Facility		$45.71	$45.71	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $58.88 / $95.50	Professional		$40.74	$58.88	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $52.48 / $87.10	Professional		$37.15	$52.48	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $691.83 / $41,686.94	Facility		$45.71	$691.83	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $776.25 / $1,380.38	Professional		$61.66	$776.25	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $229.09	Professional		$97.72	$229.09	$229.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $229.09 / $229.09	Professional		$97.72	$229.09	$229.09
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 $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $229.09	Facility		$69.18	$69.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $97.72	Professional		$40.74	$57.54	$97.72