Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $42.66	Facility		$13.80	$26.30	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.14 / $35.48	Professional		$11.22	$15.14	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $18.20 / $31.62	Facility		$15.85	$18.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.77 / $21.88	Professional		$7.94	$9.77	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $19.50	Facility		$11.48	$11.48	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $11.22 / $60.26	Facility		$11.22	$11.22	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $24.55	Professional		$8.32	$10.47	$24.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.78 / $60.26	Facility		$11.22	$17.78	$60.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $22.39	Professional		$8.32	$10.47	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $21.38	Professional		$11.48	$14.13	$21.38
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $17.78 / $39.81	Professional		$11.22	$17.78	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $11.22 / $16.98	Facility		$6.17	$11.22	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $20.42	Professional		$7.24	$10.23	$20.42