Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $25.35 / $142.00	Facility		$25.35	$25.35	$142.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $25.35 / $35.42	Professional		$25.18	$25.35	$35.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.79 / $49.79 / $81.59	Professional		$49.79	$49.79	$81.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $52,499.48 / $61,249.39	Facility		$53.75	$52,499.48	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $58.86 / $81.50	Professional		$58.86	$58.86	$81.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $56.67	Facility		$49.68	$49.68	$56.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $36.27 / $49.68	Professional		$36.27	$36.27	$49.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.68 / $49.68 / $49.68	Facility		$49.68	$49.68	$49.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $49.68 / $49.68	Professional		$36.27	$49.68	$49.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $30.16 / $48.48	Professional		$20.23	$30.16	$48.48