Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $2,818.38 / $10,715.19	Facility		$74.13	$2,818.38	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $44.67 / $151.36	Professional		$37.15	$44.67	$151.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $51.29 / $81.28	Professional		$40.74	$51.29	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $1,230.27	Facility		$37.15	$41.69	$1,230.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $46.77	Professional		$41.69	$41.69	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $602.56	Facility		$34.67	$67.61	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $234.42	Professional		$39.81	$60.26	$234.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $21,379.62	Facility		$67.61	$67.61	$21,379.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $302.00	Professional		$39.81	$60.26	$302.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $33.11	Professional		$32.36	$33.11	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $81.28	Professional		$37.15	$43.65	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $870.96 / $2,818.38	Facility		$134.90	$870.96	$2,818.38
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $48.98 / $75.86	Professional		$32.36	$48.98	$75.86