Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $25.70 / $45.71	Facility		$12.59	$25.70	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $28.18	Professional		$10.96	$14.13	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.22 / $28.18	Facility		$14.13	$16.22	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.33 / $19.95	Professional		$7.59	$9.33	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $17.78	Facility		$12.02	$12.02	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $57.54	Facility		$10.00	$10.00	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.88	Professional		$7.76	$9.77	$21.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.85 / $57.54	Facility		$10.00	$15.85	$57.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $21.38	Professional		$7.76	$9.77	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $19.05	Professional		$10.23	$12.59	$19.05
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.22 / $35.48	Professional		$10.00	$16.22	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.47 / $15.14	Facility		$5.50	$10.47	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $18.20	Professional		$6.46	$9.12	$18.20