Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.44 / $34.67	Facility		$12.30	$23.44	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $30.90	Professional		$10.96	$12.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $28.18	Facility		$14.13	$16.22	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $19.50	Professional		$7.08	$8.91	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $17.78	Facility		$10.47	$10.47	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $53.70	Facility		$10.00	$10.00	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $22.39	Professional		$7.24	$9.12	$22.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.85 / $53.70	Facility		$10.00	$15.85	$53.70
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.12 / $19.50	Professional		$7.24	$9.12	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $19.05	Professional		$10.47	$13.80	$19.05
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $35.48	Professional		$10.00	$16.22	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.00 / $15.49	Facility		$5.62	$10.00	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $18.62	Professional		$6.46	$9.33	$18.62