Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $74.13	Facility		$14.45	$28.84	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $34.67	Professional		$10.00	$11.75	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $26.92	Facility		$13.18	$15.14	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.41 / $16.98	Professional		$5.75	$7.41	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $16.60	Facility		$9.33	$9.33	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $30.20	Facility		$9.33	$9.33	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.59 / $20.42	Professional		$6.61	$7.59	$20.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $14.79 / $58.88	Facility		$9.33	$14.79	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.08 / $18.20	Professional		$6.61	$7.08	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $17.78	Professional		$9.77	$12.02	$17.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $33.88	Professional		$9.33	$15.14	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.13 / $14.45	Facility		$5.25	$8.13	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $15.14	Professional		$6.03	$8.71	$15.14