Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $44.67 / $74.13	Facility		$12.88	$44.67	$74.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $25.12	Professional		$12.88	$15.85	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $25.70 / $41.69	Professional		$17.38	$25.70	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $23.99 / $32.36	Facility		$19.05	$23.99	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $33.88	Professional		$19.50	$25.12	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $43.65	Professional		$17.38	$26.30	$43.65
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $44.67	Professional		$19.05	$26.92	$44.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $33.11	Professional		$23.99	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.12 / $36.31	Professional		$20.42	$25.12	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.38 / $25.70	Professional		$16.98	$21.38	$25.70