Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.11 / $112.20	Facility		$12.59	$33.11	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $29.51	Professional		$8.91	$10.96	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.88 / $22.91	Facility		$11.22	$12.88	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $15.49	Professional		$6.03	$7.41	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.88 / $15.49	Facility		$8.32	$12.88	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.30 / $16.60	Professional		$7.94	$12.30	$16.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $8.13 / $25.70	Facility		$7.94	$8.13	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $23.44	Professional		$6.31	$7.94	$23.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $33.11 / $83.18	Facility		$12.59	$33.11	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.33 / $16.98	Professional		$6.31	$9.33	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $15.14	Professional		$8.32	$10.23	$15.14
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.88 / $28.84	Professional		$7.94	$12.88	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.51 / $12.30	Facility		$4.47	$8.51	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.41 / $14.79	Professional		$5.13	$7.41	$14.79