Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $22.91 / $37.15	Facility		$12.02	$22.91	$37.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $30.20	Professional		$10.00	$12.02	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $15.85 / $27.54	Facility		$13.80	$15.85	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.51 / $19.05	Professional		$6.46	$8.51	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $17.38	Facility		$11.48	$11.48	$17.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $51.29	Facility		$9.77	$9.77	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.71 / $21.38	Professional		$6.92	$8.71	$21.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $15.49 / $51.29	Facility		$9.77	$15.49	$51.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.51 / $18.20	Professional		$6.92	$8.51	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.30 / $18.62	Professional		$8.32	$12.30	$18.62
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 $9.77 / $15.85 / $34.67	Professional		$9.77	$15.85	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $5.37 / $9.77 / $15.14	Facility		$5.37	$9.77	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $18.20	Professional		$6.31	$8.91	$18.20