Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.60 / $24.55	Facility		$7.94	$16.60	$24.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $19.05	Professional		$6.03	$7.94	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.47 / $18.20	Facility		$9.12	$10.47	$18.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $5.25 / $8.32	Professional		$4.37	$5.25	$8.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $11.22	Facility		$7.24	$7.24	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $37.15	Facility		$6.46	$6.46	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.71 / $15.85	Professional		$4.47	$8.71	$15.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.23 / $37.15	Facility		$6.46	$10.23	$37.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $8.32 / $15.85	Professional		$4.47	$8.32	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $5.37 / $5.37	Professional		$5.37	$5.37	$5.37
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $11.75	Facility		$11.75	$11.75	$11.75
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.23 / $22.91	Professional		$6.46	$10.23	$22.91
United Facility/Professional Facility Modifier Low / Median / High Price $3.55 / $6.17 / $8.91	Facility		$3.55	$6.17	$8.91
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $12.59	Professional		$5.37	$7.76	$12.59