Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $22.91	Professional		$14.13	$15.85	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $16.60 / $26.92	Professional		$13.18	$16.60	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $17.78 / $20.42	Facility		$15.85	$17.78	$20.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $19.50	Professional		$17.38	$17.38	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $26.92 / $27.54	Facility		$14.45	$26.92	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $36.31	Professional		$14.79	$20.42	$36.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $33.11	Professional		$14.79	$20.42	$33.11
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 $17.78 / $20.89 / $38.90	Professional		$17.78	$20.89	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $16.22 / $27.54	Professional		$12.30	$16.22	$27.54