Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $63.10	Facility		$16.60	$33.11	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $33.11	Professional		$15.14	$19.05	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $38.02	Facility		$19.05	$21.88	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.30 / $26.92	Professional		$10.23	$12.30	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $23.99	Facility		$16.98	$16.98	$23.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $47.86	Facility		$13.49	$13.49	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.80 / $30.20	Professional		$10.47	$13.80	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.38 / $79.43	Facility		$13.49	$21.38	$79.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $25.70	Professional		$10.47	$13.18	$25.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.98 / $25.70	Professional		$11.48	$16.98	$25.70
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $21.88 / $47.86	Professional		$13.49	$21.88	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.45 / $20.89	Facility		$7.41	$14.45	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $25.12	Professional		$8.51	$12.30	$25.12