Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $39.81 / $77.62	Facility		$22.91	$39.81	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $23.44 / $60.26	Professional		$18.20	$23.44	$60.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $52.48	Facility		$26.30	$30.20	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.79 / $32.36	Professional		$11.48	$14.79	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $33.11	Facility		$18.62	$18.62	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $60.26	Facility		$18.62	$18.62	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.79 / $38.02	Professional		$12.59	$14.79	$38.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $29.51 / $60.26	Facility		$18.62	$29.51	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $13.18 / $27.54	Professional		$12.59	$13.18	$27.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $35.48	Professional		$19.05	$25.70	$35.48
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $66.07	Professional		$18.62	$30.20	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $15.14 / $28.18	Facility		$10.23	$15.14	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $3.16 / $12.02 / $28.18	Professional		$3.16	$12.02	$28.18