Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $186.21 / $933.25	Facility		$74.13	$186.21	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $1.00 / $229.09	Professional		$1.00	$1.00	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.02 / $0.04	Professional		$0.02	$0.02	$0.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,977.88 / $60,255.96 / $72,443.60	Facility		$48,977.88	$60,255.96	$72,443.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $2,884.03	Facility		$120.23	$144.54	$2,884.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $75.86	Professional		$60.26	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $954.99 / $2,951.21	Facility		$316.23	$954.99	$2,951.21