Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $154.88 / $389.05	Facility		$61.66	$154.88	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $41.69 / $263.03	Professional		$14.45	$41.69	$263.03
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 / $79,432.82	Facility		$48,977.88	$60,255.96	$79,432.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75,857.76 / $75,857.76 / $79,432.82	Professional		$75,857.76	$75,857.76	$79,432.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $123.03 / $186.21	Facility		$60.26	$123.03	$186.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $60.26	Professional		$30.20	$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 $50.12 / $70.79 / $75.86	Professional		$50.12	$70.79	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $309.03 / $371.54	Facility		$257.04	$309.03	$371.54
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Professional		$38.02	$38.02	$38.02