Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $23.44 / $39.81	Facility		$12.59	$23.44	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $30.90	Professional		$10.96	$12.88	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.60 / $29.51	Facility		$14.45	$16.60	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.94 / $18.62	Professional		$6.31	$7.94	$18.62
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 $10.23 / $10.23 / $33.11	Facility		$10.23	$10.23	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.51 / $22.91	Professional		$7.24	$8.51	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.22 / $33.11	Facility		$10.23	$16.22	$33.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.32 / $17.78	Professional		$7.24	$8.32	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $19.50	Professional		$8.71	$13.18	$19.50
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 $10.23 / $16.60 / $37.15	Professional		$10.23	$16.60	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $9.77 / $15.85	Facility		$5.75	$9.77	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.55 / $18.20	Professional		$6.61	$9.55	$18.20