Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $15.49 / $30.90	Facility		$8.13	$15.49	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.91 / $18.20	Professional		$7.08	$8.91	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $10.72 / $18.62	Facility		$9.33	$10.72	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $6.31 / $13.18	Professional		$5.01	$6.31	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $11.75	Facility		$8.13	$8.13	$11.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $38.90	Facility		$6.61	$6.61	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.61 / $14.79	Professional		$5.13	$6.61	$14.79
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.47 / $38.90	Facility		$6.61	$10.47	$38.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.46 / $14.13	Professional		$5.13	$6.46	$14.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $8.32 / $12.59	Professional		$5.62	$8.32	$12.59
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.72 / $23.44	Professional		$6.61	$10.72	$23.44
United Facility/Professional Facility Modifier Low / Median / High Price $3.63 / $6.92 / $10.23	Facility		$3.63	$6.92	$10.23
United Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.17 / $12.30	Professional		$4.27	$6.17	$12.30