Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.50 / $31.62	Facility		$10.23	$19.50	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.47 / $25.12	Professional		$8.91	$10.47	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.44	Facility		$11.75	$13.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.59 / $16.22	Professional		$5.89	$7.59	$16.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $14.45	Facility		$9.55	$9.55	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $45.71	Facility		$8.32	$8.32	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $18.20	Professional		$6.17	$7.76	$18.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.18 / $45.71	Facility		$8.32	$13.18	$45.71
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.76 / $16.60	Professional		$6.17	$7.76	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.48 / $15.85	Professional		$8.51	$11.48	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $29.51	Professional		$8.32	$13.18	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.32 / $12.59	Facility		$4.57	$8.32	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $15.85	Professional		$5.37	$7.59	$15.85