Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $29.51 / $56.23	Facility		$12.88	$29.51	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $12.88 / $33.88	Professional		$9.33	$12.88	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.14 / $26.30	Facility		$13.18	$15.14	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $18.20	Professional		$7.08	$8.71	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $16.60	Facility		$11.48	$11.48	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $36.31	Facility		$9.33	$9.33	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $9.33 / $20.42	Professional		$7.24	$9.33	$20.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $15.14 / $54.95	Facility		$9.33	$15.14	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.48 / $30.90	Professional		$7.24	$11.48	$30.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $17.78	Professional		$9.77	$11.75	$17.78
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.14 / $31.62	Professional		$9.33	$15.14	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $9.77 / $14.45	Facility		$5.13	$9.77	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.71 / $17.38	Professional		$6.03	$8.71	$17.38