Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $32.36 / $61.66	Facility		$17.38	$32.36	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $87.10	Professional		$12.88	$19.05	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $38.02	Facility		$18.62	$21.38	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $10.00 / $23.44	Professional		$8.13	$10.00	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $23.44	Facility		$13.49	$13.49	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $13.18 / $42.66	Facility		$13.18	$13.18	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.33 / $26.92	Professional		$5.62	$9.33	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.89 / $87.10	Facility		$13.18	$20.89	$87.10
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.33 / $13.18	Professional		$5.62	$9.33	$13.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $18.62 / $25.12	Professional		$13.80	$18.62	$25.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $47.86	Professional		$13.18	$21.38	$47.86
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.23 / $20.42	Facility		$6.76	$10.23	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.51 / $20.42	Professional		$5.37	$8.51	$20.42