Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $14.79 / $25.70	Facility		$7.08	$14.79	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $16.98	Professional		$6.03	$7.94	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.12 / $15.85	Facility		$7.94	$9.12	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.25 / $10.96	Professional		$4.27	$5.25	$10.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $5.89 / $10.00	Facility		$5.89	$5.89	$10.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $22.91	Facility		$5.62	$5.62	$22.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.50 / $12.30	Professional		$4.27	$5.50	$12.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $8.91 / $19.50	Facility		$5.62	$8.91	$19.50
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.50 / $12.02	Professional		$4.27	$5.50	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.08 / $10.72	Professional		$5.75	$7.08	$10.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $19.95	Professional		$5.62	$9.12	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $5.89 / $8.51	Facility		$3.09	$5.89	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.13 / $10.23	Professional		$3.63	$5.13	$10.23