Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $36.31 / $66.07	Facility		$16.22	$36.31	$66.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $48.98	Professional		$12.88	$15.85	$48.98
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 $8.91 / $10.96 / $24.55	Professional		$8.91	$10.96	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $20.89	Facility		$10.00	$10.00	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $69.18	Facility		$11.75	$11.75	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $25.70	Professional		$9.33	$11.48	$25.70
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $18.62 / $69.18	Facility		$11.75	$18.62	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $20.89	Professional		$9.33	$11.48	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.79 / $22.39	Professional		$12.30	$14.79	$22.39
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 / $41.69	Professional		$11.75	$19.05	$41.69
United Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $12.30 / $18.20	Facility		$6.46	$12.30	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.72 / $21.88	Professional		$7.59	$10.72	$21.88