Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $28.84 / $93.33	Facility		$13.49	$28.84	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $30.20	Professional		$10.96	$13.49	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $30.90	Facility		$15.49	$17.78	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $9.33 / $20.89	Professional		$7.08	$9.33	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $19.50	Facility		$13.18	$13.18	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $47.86	Facility		$10.96	$10.96	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $23.99	Professional		$7.76	$9.12	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.78 / $69.18	Facility		$10.96	$17.78	$69.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.12 / $19.95	Professional		$7.76	$9.12	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $20.89	Professional		$11.48	$13.80	$20.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $38.90	Professional		$10.96	$17.78	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.96 / $16.98	Facility		$6.03	$10.96	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.23 / $19.95	Professional		$7.08	$10.23	$19.95