Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $34.67 / $87.10	Facility		$14.79	$34.67	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.13 / $33.11	Professional		$11.48	$14.13	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.60 / $28.84	Facility		$14.45	$16.60	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.55 / $20.42	Professional		$7.76	$9.55	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $17.78	Facility		$12.59	$12.59	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $64.57	Facility		$10.23	$10.23	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.00 / $22.39	Professional		$7.94	$10.00	$22.39
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.50 / $100.00	Facility		$10.23	$19.50	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $10.00 / $21.88	Professional		$2.69	$10.00	$21.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.88 / $19.50	Professional		$10.47	$12.88	$19.50
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $16.22 / $30.90	Professional		$10.23	$16.22	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $10.72 / $15.49	Facility		$5.62	$10.72	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $21.88	Professional		$6.61	$9.33	$21.88