Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $32.36 / $47.86	Facility		$16.98	$32.36	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $35.48	Professional		$15.85	$18.20	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $22.39 / $38.90	Facility		$19.50	$22.39	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.75 / $26.92	Professional		$9.33	$11.75	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $24.55	Facility		$14.13	$14.13	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $72.44	Facility		$13.80	$13.80	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $30.20	Professional		$9.77	$12.59	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $21.88 / $72.44	Facility		$13.80	$21.88	$72.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.59 / $32.36	Professional		$9.77	$12.59	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $17.38 / $26.30	Professional		$14.45	$17.38	$26.30
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $22.39 / $48.98	Professional		$13.80	$22.39	$48.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.80 / $21.38	Facility		$7.59	$13.80	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $25.70	Professional		$8.91	$12.88	$25.70