Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $15.14 / $23.44	Facility		$7.76	$15.14	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $7.94 / $17.78	Professional		$6.92	$7.94	$17.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $18.20	Facility		$8.91	$10.23	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.90 / $11.48	Professional		$3.89	$4.90	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $11.22	Facility		$6.61	$6.61	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $25.70	Facility		$6.31	$6.31	$25.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $13.80	Professional		$4.47	$5.37	$13.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.00 / $25.70	Facility		$6.31	$10.00	$25.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.01 / $10.72	Professional		$4.47	$5.01	$10.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $12.02	Professional		$6.61	$8.91	$12.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $22.91	Professional		$6.31	$10.23	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $5.75 / $9.77	Facility		$3.55	$5.75	$9.77
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.89 / $10.72	Professional		$4.07	$5.89	$10.72