Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $57.54 / $81.28	Facility		$31.62	$57.54	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $26.92 / $39.81	Professional		$19.95	$26.92	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $35.48 / $61.66	Facility		$30.90	$35.48	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.13 / $42.66	Professional		$12.59	$14.13	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $478.63 / $41,686.94	Facility		$31.62	$478.63	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $537.03 / $933.25	Professional		$41.69	$537.03	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $70.79	Facility		$21.88	$21.88	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $39.81 / $43.65	Professional		$26.92	$39.81	$43.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $42.66 / $194.98	Facility		$21.88	$42.66	$194.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $37.15 / $79.43	Professional		$28.84	$37.15	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $30.20 / $33.88	Facility		$12.30	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $38.90	Professional		$14.13	$20.42	$38.90