Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $51.29	Facility		$16.60	$35.48	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $38.02	Professional		$15.14	$16.98	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $38.02	Facility		$18.62	$21.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $26.30	Professional		$10.23	$12.59	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $23.44	Facility		$14.13	$14.13	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $85.11	Facility		$13.49	$13.49	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $29.51	Professional		$10.47	$13.49	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $20.89 / $85.11	Facility		$13.49	$20.89	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.49 / $34.67	Professional		$10.47	$13.49	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.98 / $25.12	Professional		$13.80	$16.98	$25.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.38 / $47.86	Professional		$13.49	$21.38	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.13 / $20.42	Facility		$7.41	$14.13	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.30 / $24.55	Professional		$8.71	$12.30	$24.55