Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50.12 / $70.79	Facility		$28.18	$50.12	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $34.67	Professional		$19.05	$23.99	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.90 / $54.95	Facility		$26.92	$30.90	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.22 / $38.90	Professional		$14.13	$16.22	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $416.87 / $41,686.94	Facility		$27.54	$416.87	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $467.74 / $831.76	Professional		$36.31	$467.74	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $112.20	Facility		$19.05	$19.05	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $34.67 / $38.02	Professional		$19.05	$34.67	$38.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $120.23	Facility		$19.95	$30.20	$120.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $69.18	Professional		$25.12	$32.36	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $26.92 / $29.51	Facility		$10.72	$26.92	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $33.88	Professional		$12.30	$17.78	$33.88