Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $3,162.28 / $11,481.54	Facility		$1,380.38	$3,162.28	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $79.43 / $104.71	Professional		$53.70	$79.43	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $39.81 / $67.61	Professional		$29.51	$39.81	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $1,122.02 / $41,686.94	Facility		$75.86	$1,122.02	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $1,258.93 / $2,238.72	Professional		$100.00	$1,258.93	$2,238.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $371.54 / $371.54	Professional		$125.89	$371.54	$371.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $371.54 / $371.54	Professional		$125.89	$371.54	$371.54
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 Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $128.82	Professional		$64.57	$89.13	$128.82