Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $14.79 / $22.91	Facility		$7.76	$14.79	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $19.95	Professional		$6.03	$7.94	$19.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $17.78	Facility		$8.91	$10.23	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.90 / $7.41	Professional		$4.17	$4.90	$7.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $10.96	Facility		$6.61	$6.61	$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 $6.31 / $6.31 / $33.11	Facility		$6.31	$6.31	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.32 / $15.14	Professional		$4.47	$8.32	$15.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $10.00 / $20.42	Facility		$4.47	$10.00	$20.42
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $7.94 / $14.13	Professional		$4.47	$7.94	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.71 / $12.02	Professional		$6.46	$8.71	$12.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.00 / $22.39	Professional		$6.31	$10.00	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $6.31 / $9.55	Facility		$3.47	$6.31	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.41 / $11.75	Professional		$5.75	$7.41	$11.75