Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.99 / $23.99	Facility		$21.88	$23.99	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $26.92	Professional		$15.85	$22.91	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.85 / $28.18	Professional		$13.18	$15.85	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $354.81 / $41,686.94	Facility		$23.44	$354.81	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $398.11 / $707.95	Professional		$31.62	$398.11	$707.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $117.49 / $117.49	Professional		$40.74	$117.49	$117.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $117.49 / $117.49	Professional		$40.74	$117.49	$117.49
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 $977.24 / $2,884.03 / $6,165.95	Facility		$977.24	$2,884.03	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $44.67	Professional		$19.95	$26.92	$44.67