Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $35.48 / $64.57	Facility		$20.42	$35.48	$64.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $38.02	Professional		$16.98	$20.42	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.92 / $46.77	Facility		$23.44	$26.92	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $18.62	Professional		$10.23	$13.18	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $29.51	Facility		$19.95	$19.95	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $87.10	Facility		$16.60	$16.60	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $19.95 / $37.15	Professional		$11.75	$19.95	$37.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $26.30 / $87.10	Facility		$16.60	$26.30	$87.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $34.67	Professional		$11.75	$18.20	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $31.62	Professional		$17.38	$22.91	$31.62
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $58.88	Professional		$16.60	$26.92	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.79 / $25.70	Facility		$9.12	$14.79	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.88 / $27.54	Professional		$8.51	$12.88	$27.54