Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $24.55 / $39.81	Facility		$12.88	$24.55	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $30.90	Professional		$10.00	$12.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $29.51	Facility		$14.79	$16.98	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.51 / $19.50	Professional		$6.46	$8.51	$19.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $18.20	Facility		$10.72	$10.72	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $54.95	Facility		$10.47	$10.47	$54.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $22.91	Professional		$7.24	$8.71	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.60 / $54.95	Facility		$10.47	$16.60	$54.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $18.20	Professional		$7.24	$8.51	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $19.95	Professional		$8.71	$13.18	$19.95
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $37.15	Professional		$10.47	$16.98	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.00 / $15.85	Facility		$5.75	$10.00	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $18.62	Professional		$6.76	$9.55	$18.62