Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $20.89 / $35.48	Facility		$14.13	$20.89	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $16.98	Professional		$7.94	$12.02	$16.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.94 / $19.50	Professional		$6.61	$7.94	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $208.93 / $41,686.94	Facility		$13.80	$208.93	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $234.42 / $407.38	Professional		$18.20	$234.42	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $31.62	Facility		$9.55	$9.55	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.98 / $18.62	Professional		$12.02	$16.98	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $61.66	Facility		$10.00	$15.14	$61.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $34.67	Professional		$12.59	$16.22	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $13.49 / $14.79	Facility		$5.37	$13.49	$14.79
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $16.98	Professional		$6.31	$8.91	$16.98