Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $36.31 / $60.26	Facility		$16.60	$36.31	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $40.74	Professional		$15.14	$18.20	$40.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.38 / $37.15	Facility		$18.62	$21.38	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.30 / $25.70	Professional		$10.00	$12.30	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $23.44	Facility		$15.49	$15.49	$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 / $83.18	Facility		$13.18	$13.18	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $28.84	Professional		$10.23	$13.18	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $20.89 / $83.18	Facility		$13.18	$20.89	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $33.88	Professional		$10.23	$13.18	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $16.60 / $25.12	Professional		$13.49	$16.60	$25.12
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Facility		$23.99	$23.99	$23.99
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $21.38 / $46.77	Professional		$13.18	$21.38	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $13.80 / $20.42	Facility		$7.24	$13.80	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $23.99	Professional		$8.51	$12.02	$23.99