Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.11 / $57.54	Facility		$16.98	$33.11	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $33.11	Professional		$15.14	$19.05	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.91 / $39.81	Facility		$19.50	$22.91	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $27.54	Professional		$10.72	$13.18	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $24.55	Facility		$14.79	$14.79	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $81.28	Facility		$13.80	$13.80	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $36.31	Professional		$10.96	$13.80	$36.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.88 / $81.28	Facility		$13.80	$21.88	$81.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $29.51	Professional		$10.96	$13.80	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $19.50 / $26.30	Professional		$14.45	$19.50	$26.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $50.12	Professional		$13.80	$22.39	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.79 / $21.38	Facility		$7.76	$14.79	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $9.77 / $25.70	Professional		$2.75	$9.77	$25.70