Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $28.84 / $70.79	Facility		$12.30	$28.84	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $45.71	Professional		$7.94	$10.96	$45.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $23.99	Facility		$12.02	$13.80	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $17.38	Professional		$5.75	$7.24	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $75.86	Facility		$8.51	$8.51	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.47 / $23.44	Professional		$5.89	$10.47	$23.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $14.79 / $83.18	Facility		$11.22	$14.79	$83.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $10.00 / $23.44	Professional		$5.89	$10.00	$23.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $16.22	Professional		$9.77	$11.75	$16.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.22 / $30.20	Professional		$11.22	$16.22	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $10.96 / $11.75	Facility		$4.68	$10.96	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $13.18 / $19.05	Professional		$7.76	$13.18	$19.05