Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.70 / $117.49	Facility		$12.59	$25.70	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.48 / $34.67	Professional		$8.32	$11.48	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.99	Facility		$11.75	$13.49	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $16.22	Professional		$6.31	$7.94	$16.22
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $8.71	Facility		$8.71	$8.71	$8.71
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $14.79	Facility		$8.71	$8.71	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.51 / $52.48	Facility		$8.32	$8.51	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.32 / $18.62	Professional		$6.61	$8.32	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.22 / $54.95	Facility		$8.32	$16.22	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.47 / $14.45	Professional		$6.76	$10.47	$14.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $15.85	Professional		$8.71	$10.72	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.49 / $30.20	Professional		$8.32	$13.49	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $12.88	Facility		$4.68	$8.91	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $15.49	Professional		$5.37	$7.76	$15.49