Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $39.81 / $61.66	Facility		$21.88	$39.81	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $41.69	Professional		$16.98	$22.39	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $28.84 / $50.12	Facility		$25.12	$28.84	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $31.62	Professional		$10.96	$13.80	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $31.62	Facility		$17.38	$17.38	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $57.54	Facility		$17.78	$17.78	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $35.48	Professional		$10.96	$14.45	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $28.18 / $57.54	Facility		$17.78	$28.18	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.59 / $23.99	Professional		$10.72	$12.59	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $33.88	Professional		$18.62	$22.39	$33.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $28.84 / $63.10	Professional		$17.78	$28.84	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.80 / $27.54	Facility		$9.77	$13.80	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $27.54	Professional		$10.23	$14.45	$27.54