Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $38.90 / $38.90	Facility		$37.15	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $46.77	Professional		$26.92	$38.90	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $57.54 / $91.20	Professional		$45.71	$57.54	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $588.84 / $41,686.94	Facility		$39.81	$588.84	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $676.08 / $1,174.90	Professional		$52.48	$676.08	$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 $67.61 / $199.53 / $199.53	Professional		$67.61	$199.53	$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 $57.54 / $199.53 / $199.53	Professional		$57.54	$199.53	$199.53
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 $10.47 / $35.48 / $45.71	Facility		$10.47	$35.48	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $45.71 / $79.43	Professional		$33.88	$45.71	$79.43