Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $30.20 / $46.77	Facility		$15.85	$30.20	$46.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $38.90	Professional		$12.88	$15.85	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.89 / $36.31	Facility		$17.78	$20.89	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $24.55	Professional		$8.32	$10.47	$24.55
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $22.39	Facility		$13.18	$13.18	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $67.61	Facility		$12.88	$12.88	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $31.62	Professional		$8.91	$10.96	$31.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $20.42 / $67.61	Facility		$12.88	$20.42	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $28.18	Professional		$8.91	$12.88	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.22 / $24.55	Professional		$13.18	$16.22	$24.55
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $20.42 / $45.71	Professional		$12.88	$20.42	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.59 / $19.50	Facility		$7.08	$12.59	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $23.44	Professional		$8.32	$11.75	$23.44