Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $38.02 / $60.26	Facility		$21.38	$38.02	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $40.74	Professional		$15.85	$21.88	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.18 / $48.98	Facility		$24.55	$28.18	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.80 / $31.62	Professional		$10.72	$13.80	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $30.90	Facility		$17.38	$17.38	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $91.20	Facility		$17.38	$17.38	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.45 / $35.48	Professional		$10.96	$14.45	$35.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $27.54 / $91.20	Facility		$17.38	$27.54	$91.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $12.30 / $23.99	Professional		$10.72	$12.30	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.39 / $33.11	Professional		$18.20	$22.39	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $28.18 / $63.10	Professional		$17.38	$28.18	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.49 / $26.92	Facility		$9.77	$13.49	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $26.92	Professional		$9.55	$13.80	$26.92