Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.39 / $28.18	Facility		$15.14	$22.39	$28.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.85 / $22.91	Professional		$10.00	$15.85	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.39 / $40.74	Professional		$12.88	$22.39	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $31.62 / $40.74	Facility		$25.12	$31.62	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $58.88	Professional		$28.84	$33.88	$58.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $32.36 / $44.67	Professional		$21.88	$32.36	$44.67
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $32.36 / $67.61	Professional		$28.84	$32.36	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.59 / $16.60	Professional		$8.71	$12.59	$16.60