Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $27.54 / $48.98	Facility		$13.18	$27.54	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.18 / $28.18	Professional		$10.96	$13.18	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $30.20	Facility		$15.14	$17.38	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.51 / $19.05	Professional		$6.61	$8.51	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $19.05	Facility		$12.30	$12.30	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $50.12	Facility		$10.72	$10.72	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.91 / $23.99	Professional		$7.59	$8.91	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $16.98 / $50.12	Facility		$10.72	$16.98	$50.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.94 / $16.60	Professional		$7.59	$7.94	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $20.42	Professional		$10.96	$13.49	$20.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $38.02	Professional		$10.72	$17.38	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $5.89 / $9.12 / $16.60	Facility		$5.89	$9.12	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $16.60	Professional		$6.92	$9.77	$16.60