Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $36.31 / $57.54	Facility		$15.49	$36.31	$57.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $38.02	Professional		$14.13	$16.98	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.95 / $34.67	Facility		$17.38	$19.95	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.48 / $24.55	Professional		$9.33	$11.48	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $21.88	Facility		$12.88	$12.88	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $77.62	Facility		$12.30	$12.30	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $27.54	Professional		$9.55	$12.30	$27.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.50 / $77.62	Facility		$12.30	$19.50	$77.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.30 / $26.30	Professional		$9.55	$12.30	$26.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $23.44	Professional		$12.88	$16.98	$23.44
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Facility		$22.91	$22.91	$22.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.95 / $43.65	Professional		$12.30	$19.95	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $12.88 / $19.05	Facility		$6.76	$12.88	$19.05
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.48 / $22.91	Professional		$7.94	$11.48	$22.91