Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $58.88	Facility		$15.49	$30.20	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $38.90	Professional		$14.13	$18.20	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.42 / $36.31	Facility		$17.78	$20.42	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.02 / $25.70	Professional		$9.55	$12.02	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $22.39	Facility		$14.79	$14.79	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $74.13	Facility		$12.59	$12.59	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $28.18	Professional		$10.00	$12.59	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.95 / $74.13	Facility		$12.59	$19.95	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $26.92	Professional		$10.00	$12.59	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $23.99	Professional		$13.18	$17.78	$23.99
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $45.71	Professional		$12.59	$20.42	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $19.50	Facility		$7.08	$13.49	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $23.44	Professional		$8.13	$11.75	$23.44