Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $204.17	Facility		$64.57	$64.57	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $87.10	Professional		$0.02	$0.03	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26,302.68 / $35,481.34 / $44,668.36	Facility		$26,302.68	$35,481.34	$44,668.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46,773.51 / $46,773.51 / $46,773.51	Professional		$46,773.51	$46,773.51	$46,773.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $50.12 / $60.26	Professional		$32.36	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86