Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $33.11 / $52.48	Facility		$15.85	$33.11	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $38.90	Professional		$15.14	$18.20	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $20.89 / $36.31	Facility		$17.78	$20.89	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.30 / $25.70	Professional		$9.77	$12.30	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $22.39	Facility		$14.45	$14.45	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $74.13	Facility		$12.59	$12.59	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $28.84	Professional		$10.00	$13.49	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.95 / $74.13	Facility		$12.59	$19.95	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $28.84	Professional		$10.00	$13.49	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $45.71	Professional		$12.59	$20.42	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $17.78	Facility		$7.08	$13.49	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.30 / $29.51	Professional		$8.32	$12.30	$29.51