Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $32.36 / $54.95	Facility		$17.38	$32.36	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $37.15	Professional		$15.14	$17.78	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $22.91 / $39.81	Facility		$19.95	$22.91	$39.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $16.60	Professional		$8.71	$10.23	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $25.12	Facility		$16.98	$16.98	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $74.13	Facility		$14.13	$14.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $32.36	Professional		$10.00	$16.22	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $22.39 / $74.13	Facility		$14.13	$22.39	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $32.36	Professional		$10.00	$14.79	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $17.78 / $26.92	Professional		$14.79	$17.78	$26.92
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $22.91 / $50.12	Professional		$14.13	$22.91	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.02 / $21.88	Facility		$7.76	$12.02	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $13.18 / $22.39	Professional		$9.12	$13.18	$22.39