Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $24.55 / $39.81	Facility		$12.88	$24.55	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $32.36	Professional		$12.02	$15.14	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $29.51	Facility		$14.79	$16.98	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $20.89	Professional		$7.94	$10.00	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $18.20	Facility		$12.88	$12.88	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $66.07	Facility		$10.47	$10.47	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $22.91	Professional		$8.13	$10.47	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.60 / $66.07	Facility		$10.47	$16.60	$66.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.47 / $22.39	Professional		$8.13	$10.47	$22.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $13.18 / $19.95	Professional		$10.72	$13.18	$19.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $37.15	Professional		$10.47	$16.98	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.96 / $15.85	Facility		$5.75	$10.96	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $19.05	Professional		$6.76	$9.55	$19.05