Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $41.69	Facility		$10.96	$12.88	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $23.44	Professional		$10.00	$12.02	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $2,238.72 / $3,981.07	Facility		$707.95	$2,238.72	$3,981.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.71 / $16.98	Professional		$6.61	$8.71	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.02 / $13.18	Facility		$10.96	$12.02	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $29.51	Professional		$12.02	$17.38	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21,379.62 / $21,379.62 / $21,379.62	Facility		$21,379.62	$21,379.62	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.38 / $31.62	Professional		$12.02	$17.38	$31.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $50.12	Professional		$32.36	$39.81	$50.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $537.03	Facility		$100.00	$100.00	$537.03
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $23.99	Professional		$10.72	$12.59	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $954.99 / $2,951.21	Facility		$331.13	$954.99	$2,951.21
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.45 / $23.99	Professional		$10.72	$14.45	$23.99