Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $14.45 / $21.38	Facility		$7.59	$14.45	$21.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $16.22	Professional		$6.03	$7.76	$16.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $10.00 / $17.38	Facility		$8.71	$10.00	$17.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.75 / $12.02	Professional		$4.68	$5.75	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $10.96	Facility		$6.31	$6.31	$10.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $35.48	Facility		$6.17	$6.17	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $13.18	Professional		$4.37	$5.25	$13.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.77 / $35.48	Facility		$6.17	$9.77	$35.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $4.79 / $9.55	Professional		$4.27	$4.79	$9.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.51 / $11.75	Professional		$6.31	$8.51	$11.75
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $11.22	Facility		$11.22	$11.22	$11.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.00 / $21.88	Professional		$6.17	$10.00	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $3.39 / $5.25 / $9.33	Facility		$3.39	$5.25	$9.33
United Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.62 / $9.55	Professional		$3.98	$5.62	$9.55