Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $30.90 / $43.65	Facility		$16.98	$30.90	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.13 / $21.88	Professional		$12.02	$14.13	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.05 / $33.11	Facility		$16.60	$19.05	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.45 / $19.95	Professional		$2.04	$2.45	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $20.89	Facility		$12.59	$12.59	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $281.84 / $501.19	Professional		$22.39	$281.84	$501.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $38.02	Facility		$11.75	$11.75	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.42 / $25.70	Professional		$11.75	$20.42	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $18.62 / $38.02	Facility		$8.91	$18.62	$38.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Professional		$11.75	$11.75	$11.75
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.05 / $36.31	Professional		$11.75	$19.05	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $11.75 / $18.20	Facility		$6.46	$11.75	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $18.20	Professional		$7.59	$10.96	$18.20