Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $40.74 / $75.86	Facility		$0.02	$40.74	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $51.29 / $85.11	Professional		$17.78	$51.29	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $31.62 / $54.95	Facility		$27.54	$31.62	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $34.67	Professional		$12.02	$14.45	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $31.62 / $37.15	Facility		$17.38	$31.62	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $40.74	Professional		$19.50	$30.20	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $63.10	Facility		$19.50	$19.50	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.80 / $39.81	Professional		$7.76	$13.80	$39.81
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $30.90 / $63.10	Facility		$14.79	$30.90	$63.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $13.18 / $19.50	Professional		$7.59	$13.18	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $24.55 / $37.15	Professional		$20.42	$24.55	$37.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $69.18	Professional		$19.50	$31.62	$69.18
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $15.14 / $30.20	Facility		$9.12	$15.14	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $13.49 / $30.20	Professional		$6.76	$13.49	$30.20