Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $20.89 / $40.74	Facility		$10.96	$20.89	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $23.99	Professional		$10.00	$12.02	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $14.45 / $25.12	Facility		$12.59	$14.45	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $17.38	Professional		$5.89	$7.76	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $15.49	Facility		$10.23	$10.23	$15.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $46.77	Facility		$8.91	$8.91	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $7.76 / $19.50	Professional		$6.31	$7.76	$19.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.13 / $46.77	Facility		$8.91	$14.13	$46.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.91 / $16.60	Professional		$6.31	$8.91	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.30 / $16.98	Professional		$9.12	$12.30	$16.98
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.45 / $31.62	Professional		$8.91	$14.45	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $8.91 / $13.49	Facility		$4.90	$8.91	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.13 / $16.60	Professional		$5.75	$8.13	$16.60