Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $17.38 / $54.95	Facility		$7.76	$17.38	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.94 / $19.05	Professional		$7.08	$7.94	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $10.23 / $17.78	Facility		$8.91	$10.23	$17.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $5.62 / $12.30	Professional		$4.68	$5.62	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.61 / $11.22	Facility		$6.61	$6.61	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $35.48	Facility		$6.31	$6.31	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.17 / $13.80	Professional		$4.79	$6.17	$13.80
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $10.00 / $39.81	Facility		$6.31	$10.00	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $6.17 / $15.85	Professional		$4.79	$6.17	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.71 / $12.02	Professional		$6.46	$8.71	$12.02
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.23 / $22.39	Professional		$6.31	$10.23	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $6.46 / $9.55	Facility		$3.47	$6.46	$9.55
United Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $11.48	Professional		$4.07	$5.75	$11.48