Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $17.38 / $25.70	Facility		$9.12	$17.38	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $17.38	Professional		$7.94	$10.00	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.02 / $21.38	Facility		$10.47	$12.02	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $14.79	Professional		$5.75	$7.24	$14.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $13.18	Facility		$7.24	$7.24	$13.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $43.65	Facility		$7.41	$7.41	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.41 / $16.60	Professional		$5.75	$7.41	$16.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $11.75 / $43.65	Facility		$7.41	$11.75	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.41 / $15.85	Professional		$5.75	$7.41	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $9.55 / $14.13	Professional		$6.31	$9.55	$14.13
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $12.02 / $26.92	Professional		$7.41	$12.02	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $7.94 / $11.48	Facility		$4.17	$7.94	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.31 / $13.80	Professional		$4.37	$6.31	$13.80