Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $37.15 / $60.26	Facility		$23.44	$37.15	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $30.20	Professional		$15.85	$19.95	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.30 / $45.71	Facility		$22.91	$26.30	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $52.48 / $87.10	Professional		$35.48	$52.48	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $354.81 / $41,686.94	Facility		$23.44	$354.81	$41,686.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $398.11 / $691.83	Professional		$30.90	$398.11	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $95.50	Facility		$16.22	$16.22	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $102.33	Facility		$16.98	$25.70	$102.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $58.88	Professional		$21.38	$28.18	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $22.39 / $25.12	Facility		$9.12	$22.39	$25.12
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.14 / $25.12	Professional		$10.47	$15.14	$25.12