Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $446.68 / $20,417.38	Facility		$107.15	$446.68	$20,417.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $15.14 / $22.91	Professional		$6.46	$15.14	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.34 / $1.05	Facility		$0.17	$0.34	$1.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.17 / $0.30	Professional		$0.16	$0.17	$0.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.17 / $0.17 / $0.17	Facility		$0.17	$0.17	$0.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Professional		$0.23	$0.23	$0.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.15 / $0.16	Facility		$0.15	$0.15	$0.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.49	Professional		$0.16	$0.16	$0.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $0.15 / $0.16 / $1.82	Facility		$0.15	$0.16	$1.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.52	Professional		$0.16	$0.16	$0.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.20 / $0.23	Professional		$0.16	$0.20	$0.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $0.12 / $0.20 / $0.28	Professional		$0.12	$0.20	$0.28
United Facility/Professional Professional Modifier Low / Median / High Price $0.16 / $0.16 / $0.21	Professional		$0.16	$0.16	$0.21