Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.88 / $56.23	Facility		$18.20	$33.88	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $34.67	Professional		$15.14	$19.05	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $23.99 / $41.69	Facility		$20.89	$23.99	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $29.51	Professional		$10.00	$12.02	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $77.62	Facility		$14.79	$14.79	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $20.42 / $46.77	Professional		$10.96	$20.42	$46.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.44 / $77.62	Facility		$20.42	$23.44	$77.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.42 / $46.77	Professional		$10.47	$20.42	$46.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $20.42 / $28.18	Professional		$16.98	$20.42	$28.18
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $28.18 / $52.48	Professional		$19.50	$28.18	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $20.42 / $22.91	Facility		$8.13	$20.42	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $28.18	Professional		$9.55	$13.80	$28.18