Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $20.42	Facility		$7.08	$13.49	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.24 / $16.98	Professional		$6.03	$7.24	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $9.33 / $16.22	Facility		$8.13	$9.33	$16.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.62 / $11.48	Professional		$4.37	$5.62	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $6.03 / $10.23	Facility		$6.03	$6.03	$10.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $33.88	Facility		$5.75	$5.75	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $12.30	Professional		$4.47	$5.62	$12.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.12 / $33.88	Facility		$5.75	$9.12	$33.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.62 / $12.30	Professional		$4.47	$5.62	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.96	Professional		$6.03	$7.94	$10.96
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $9.33 / $20.42	Professional		$5.75	$9.33	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.16 / $6.03 / $8.91	Facility		$3.16	$6.03	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.37 / $10.72	Professional		$3.72	$5.37	$10.72