Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.70 / $67.61	Facility		$10.23	$25.70	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $21.88	Professional		$8.71	$10.72	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $13.18 / $22.91	Facility		$11.48	$13.18	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $16.22	Professional		$6.17	$7.59	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $14.45	Facility		$10.00	$10.00	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $46.77	Facility		$8.13	$8.13	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $18.20	Professional		$6.46	$8.13	$18.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.88 / $46.77	Facility		$8.13	$12.88	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.13 / $17.38	Professional		$6.46	$8.13	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $15.49	Professional		$6.92	$10.47	$15.49
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.18 / $28.84	Professional		$8.13	$13.18	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.71 / $12.59	Facility		$4.47	$8.71	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $15.14	Professional		$5.25	$7.59	$15.14