Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $19.95 / $33.11	Facility		$10.47	$19.95	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $25.70	Professional		$8.91	$12.02	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $23.99	Facility		$12.02	$13.80	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.32 / $16.98	Professional		$6.46	$8.32	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $15.14	Facility		$8.91	$8.91	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $50.12	Facility		$8.51	$8.51	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.12 / $19.50	Professional		$6.61	$9.12	$19.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.49 / $50.12	Facility		$8.51	$13.49	$50.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $19.50	Professional		$6.61	$8.91	$19.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $16.22	Professional		$8.91	$11.75	$16.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $30.20	Professional		$8.51	$13.80	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.91 / $13.18	Facility		$4.68	$8.91	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $8.32 / $15.85	Professional		$5.50	$8.32	$15.85