Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.85 / $25.70	Facility		$8.32	$15.85	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.32 / $18.62	Professional		$7.08	$8.32	$18.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $10.96 / $19.05	Facility		$9.55	$10.96	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.25 / $12.88	Professional		$4.17	$5.25	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $12.02	Facility		$8.13	$8.13	$12.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Professional		$14.13	$14.13	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $35.48	Facility		$6.76	$6.76	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.50 / $15.14	Professional		$4.79	$5.50	$15.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.72 / $35.48	Facility		$6.76	$10.72	$35.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.25 / $11.22	Professional		$4.79	$5.25	$11.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $12.88	Professional		$7.08	$9.33	$12.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.96 / $23.99	Professional		$6.76	$10.96	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $6.03 / $10.47	Facility		$3.72	$6.03	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $6.17 / $11.22	Professional		$4.37	$6.17	$11.22