Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $19.95	Professional		$7.94	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.76 / $23.44	Professional		$6.03	$7.76	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $36.31 / $53.70	Facility		$26.92	$36.31	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $11.75 / $30.20	Professional		$6.92	$11.75	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.96 / $30.20	Professional		$6.92	$10.96	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $17.78	Professional		$7.59	$15.14	$17.78
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $38.02	Professional		$15.85	$22.39	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $25.70	Professional		$8.91	$14.79	$25.70