Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $18.62 / $91.20	Facility		$9.33	$18.62	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $19.95	Professional		$7.08	$8.91	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $20.42	Facility		$10.00	$11.48	$20.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.75 / $14.13	Professional		$4.37	$5.75	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $12.59	Facility		$7.41	$7.41	$12.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $37.15	Facility		$7.08	$7.08	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.62 / $15.85	Professional		$4.90	$5.62	$15.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $17.78 / $56.23	Facility		$7.08	$17.78	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $5.50 / $11.75	Professional		$4.90	$5.50	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.00 / $13.49	Professional		$7.41	$10.00	$13.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Facility		$13.18	$13.18	$13.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $25.70	Professional		$7.08	$11.48	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $6.31 / $10.96	Facility		$3.98	$6.31	$10.96
United Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $6.61 / $11.75	Professional		$4.57	$6.61	$11.75