Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $26.30 / $48.98	Facility		$12.30	$26.30	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $28.84	Professional		$10.00	$12.02	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $15.49 / $26.92	Facility		$13.49	$15.49	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.41 / $16.98	Professional		$5.89	$7.41	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $16.98	Facility		$10.96	$10.96	$16.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $30.90	Facility		$9.55	$9.55	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.59 / $20.42	Professional		$6.61	$7.59	$20.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $15.14 / $40.74	Facility		$9.55	$15.14	$40.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $7.24 / $17.78	Professional		$6.61	$7.24	$17.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $18.20	Professional		$9.77	$12.02	$18.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.49 / $33.88	Professional		$9.55	$15.49	$33.88
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $8.32 / $14.45	Facility		$5.25	$8.32	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.71 / $15.14	Professional		$6.17	$8.71	$15.14