Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $23.44 / $33.11	Facility		$12.88	$23.44	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.96 / $19.05	Professional		$10.00	$10.96	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $25.12	Facility		$12.59	$14.45	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.41 / $16.98	Professional		$6.46	$7.41	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $15.85	Facility		$9.33	$9.33	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $213.80 / $380.19	Professional		$16.60	$213.80	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $52.48	Facility		$8.91	$8.91	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $15.85 / $19.50	Professional		$8.91	$15.85	$19.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.13 / $52.48	Facility		$8.91	$14.13	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $8.91	Professional		$8.91	$8.91	$8.91
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $27.54	Professional		$8.91	$14.45	$27.54
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $8.91 / $13.80	Facility		$4.90	$8.91	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $15.14	Professional		$5.75	$8.32	$15.14