Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $32.36	Professional		$14.13	$20.89	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $39.81	Professional		$10.96	$13.80	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.45 / $30.20	Facility		$12.88	$14.45	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $24.55 / $42.66	Professional		$12.88	$24.55	$42.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $42.66	Professional		$12.88	$18.20	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $32.36 / $60.26	Professional		$27.54	$32.36	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $10.23 / $16.98	Facility		$6.76	$10.23	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $25.12 / $40.74	Professional		$12.02	$25.12	$40.74