Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $14.13 / $21.38	Facility		$6.46	$14.13	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $14.13	Professional		$5.01	$7.08	$14.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.32 / $14.45	Facility		$7.24	$8.32	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.79 / $10.23	Professional		$3.89	$4.79	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $5.37 / $9.12	Facility		$5.37	$5.37	$9.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $33.11	Facility		$5.13	$5.13	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $11.48	Professional		$3.98	$5.13	$11.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $8.13 / $33.11	Facility		$5.13	$8.13	$33.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.13 / $10.96	Professional		$3.98	$5.13	$10.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.08 / $9.77	Professional		$5.37	$7.08	$9.77
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.32 / $18.20	Professional		$5.13	$8.32	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $2.82 / $5.37 / $7.94	Facility		$2.82	$5.37	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $4.68 / $9.33	Professional		$3.31	$4.68	$9.33