Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $44.67 / $72.44	Facility		$23.44	$44.67	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.44 / $47.86	Professional		$16.98	$23.44	$47.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $30.90 / $53.70	Facility		$26.92	$30.90	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.13 / $38.02	Professional		$11.75	$14.13	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $33.88 / $40.74	Facility		$23.44	$33.88	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $39.81	Professional		$29.51	$34.67	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $100.00	Facility		$19.05	$19.05	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $25.70 / $52.48	Professional		$13.18	$25.70	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $30.20 / $100.00	Facility		$26.30	$30.20	$100.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $22.91 / $52.48	Professional		$13.18	$22.91	$52.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $26.30 / $36.31	Professional		$15.49	$26.30	$36.31
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $67.61	Professional		$25.12	$36.31	$67.61
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $26.30 / $29.51	Facility		$10.47	$26.30	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $33.88	Professional		$12.30	$17.38	$33.88