Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $18.62 / $30.20	Facility		$9.77	$18.62	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $26.92	Professional		$8.91	$10.96	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.88 / $22.39	Facility		$11.22	$12.88	$22.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.41 / $15.85	Professional		$6.03	$7.41	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $13.80	Facility		$9.77	$9.77	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $45.71	Facility		$7.94	$7.94	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $22.91	Professional		$6.17	$7.94	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.59 / $45.71	Facility		$7.94	$12.59	$45.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.94 / $16.98	Professional		$6.17	$7.94	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $15.14	Professional		$8.13	$10.00	$15.14
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $14.45	Facility		$14.45	$14.45	$14.45
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.59 / $28.18	Professional		$7.94	$12.59	$28.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.37 / $8.32 / $12.02	Facility		$4.37	$8.32	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $7.24 / $14.45	Professional		$5.13	$7.24	$14.45