Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $30.20	Facility		$10.72	$18.62	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $10.72 / $20.42	Professional		$5.01	$10.72	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.13 / $24.55	Facility		$12.30	$14.13	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.46 / $15.49	Professional		$5.37	$6.46	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $7.76 / $15.49	Facility		$7.76	$7.76	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $45.71	Facility		$8.71	$8.71	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $6.17 / $17.38	Professional		$3.31	$6.17	$17.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $13.80 / $45.71	Facility		$6.61	$13.80	$45.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.75 / $8.71	Professional		$3.31	$5.75	$8.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.60	Professional		$8.91	$10.96	$16.60
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $30.90	Professional		$8.71	$14.13	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $6.61 / $13.49	Facility		$3.89	$6.61	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $5.62 / $13.49	Professional		$3.09	$5.62	$13.49