Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $41.69 / $67.61	Facility		$21.88	$41.69	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $41.69	Professional		$16.98	$21.88	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.84 / $50.12	Facility		$25.12	$28.84	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $31.62	Professional		$10.96	$14.13	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $30.90	Facility		$14.45	$14.45	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $93.33	Facility		$17.78	$17.78	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $35.48	Professional		$10.96	$14.13	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $93.33	Facility		$17.78	$28.18	$93.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $20.89	Professional		$10.96	$12.30	$20.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $33.88	Professional		$18.20	$22.39	$33.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.18 / $63.10	Professional		$17.78	$28.18	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.49 / $26.92	Facility		$9.77	$13.49	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.79 / $26.92	Professional		$10.23	$14.79	$26.92