Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $23.99 / $39.81	Facility		$12.59	$23.99	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $32.36	Professional		$10.96	$12.88	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.60 / $28.84	Facility		$14.45	$16.60	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.33 / $19.95	Professional		$7.24	$9.33	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $18.20	Facility		$8.91	$8.91	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $54.95	Facility		$10.23	$10.23	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.55 / $22.91	Professional		$7.41	$9.55	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.22 / $54.95	Facility		$10.23	$16.22	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.33 / $20.42	Professional		$7.41	$9.33	$20.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.88 / $19.50	Professional		$10.72	$12.88	$19.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.60 / $36.31	Professional		$10.23	$16.60	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.23 / $15.85	Facility		$5.62	$10.23	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $20.42	Professional		$6.61	$9.55	$20.42