Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $61.66 / $1,023.29	Facility		$38.90	$61.66	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $162.18 / $5,011.87	Professional		$11.48	$162.18	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $1.05 / $1.05	Professional		$0.02	$1.05	$1.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60,255.96 / $60,255.96 / $60,255.96	Facility		$60,255.96	$60,255.96	$60,255.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26,302.68 / $43,651.58 / $60,255.96	Professional		$26,302.68	$43,651.58	$60,255.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $22.91 / $112.20	Facility		$17.38	$22.91	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $3,715.35	Professional		$10.72	$13.18	$3,715.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $102.33	Facility		$14.79	$33.11	$102.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $22.91	Professional		$10.72	$12.59	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $38.90	Professional		$26.30	$30.90	$38.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13