Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $18.62 / $30.20	Facility		$10.72	$18.62	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $20.42	Professional		$7.94	$10.96	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $14.13 / $24.55	Facility		$12.30	$14.13	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.92 / $15.49	Professional		$5.37	$6.92	$15.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $15.49	Facility		$8.71	$8.71	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $32.36	Facility		$8.71	$8.71	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.24 / $17.38	Professional		$5.50	$7.24	$17.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.80 / $32.36	Facility		$8.71	$13.80	$32.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.17 / $12.02	Professional		$5.50	$6.17	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $16.60	Professional		$8.91	$10.96	$16.60
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $14.13 / $30.90	Professional		$8.71	$14.13	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $6.61 / $13.49	Facility		$4.79	$6.61	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $6.76 / $15.85	Professional		$4.47	$6.76	$15.85