Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $61.66	Facility		$19.50	$34.67	$61.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.95 / $37.15	Professional		$12.02	$19.95	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $25.70 / $45.71	Facility		$22.39	$25.70	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $28.84	Professional		$9.77	$12.30	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $28.18	Facility		$16.60	$16.60	$28.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $83.18	Facility		$15.85	$15.85	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.75 / $32.36	Professional		$7.59	$11.75	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.12 / $83.18	Facility		$13.49	$25.12	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.22 / $16.60	Professional		$7.59	$11.22	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $30.20	Professional		$16.60	$21.88	$30.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.70 / $57.54	Professional		$15.85	$25.70	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $12.30 / $24.55	Facility		$8.51	$12.30	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.96 / $24.55	Professional		$7.08	$10.96	$24.55