Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $35.48 / $35.48	Facility		$10.96	$35.48	$35.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $23.99	Professional		$11.75	$18.20	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $5.75 / $16.60	Professional		$4.07	$5.75	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $41.69	Facility		$19.05	$19.05	$41.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $42.66	Professional		$18.62	$27.54	$42.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.84 / $42.66	Professional		$19.95	$28.84	$42.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$50.12	$60.26
Optum Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $60.26 / $75.86	Professional		$19.95	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.99 / $46.77	Professional		$16.22	$23.99	$46.77