Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $23.99 / $58.88	Facility		$18.20	$23.99	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $34.67	Professional		$16.98	$19.95	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $53.70	Professional		$21.88	$33.11	$53.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $17.78 / $22.91	Facility		$11.75	$17.78	$22.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $21.88	Professional		$19.50	$19.50	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.90 / $60.26	Professional		$18.62	$30.90	$60.26
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $60.26	Professional		$18.20	$28.84	$60.26
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 Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $38.90	Professional		$17.38	$20.42	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $1,071.52	Facility		$741.31	$891.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $25.12 / $43.65	Professional		$15.85	$25.12	$43.65