Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $112.20 / $407.38	Facility		$27.54	$112.20	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $46.77	Professional		$15.85	$28.84	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $2,089.30 / $3,981.07	Facility		$645.65	$2,089.30	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $25.12 / $41.69	Professional		$13.80	$25.12	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.20 / $19.50	Facility		$14.13	$18.20	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $64.57	Professional		$30.20	$38.90	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $23.99 / $21,379.62	Facility		$13.18	$23.99	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $48.98	Professional		$16.60	$29.51	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $107.15 / $223.87	Facility		$36.31	$107.15	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $29.51 / $50.12	Professional		$16.60	$29.51	$50.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $162.18	Facility		$100.00	$100.00	$162.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $41.69	Professional		$13.49	$21.88	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $912.01 / $2,951.21	Facility		$269.15	$912.01	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.18 / $47.86	Professional		$15.85	$28.18	$47.86