Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $17.78 / $21.88	Facility		$12.88	$17.78	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.88 / $18.62	Professional		$8.91	$12.88	$18.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $12.30 / $26.92	Professional		$10.47	$12.30	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $25.12	Facility		$10.47	$15.85	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.05 / $28.18	Professional		$13.49	$19.05	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $14.45	Facility		$13.80	$13.80	$14.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $11.75	Professional		$8.51	$11.75	$11.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $14.45	Facility		$12.02	$13.80	$14.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $11.75 / $11.75	Professional		$8.51	$11.75	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $22.39	Professional		$11.22	$15.49	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $23.99 / $43.65	Professional		$21.38	$23.99	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.71 / $13.49	Facility		$7.41	$8.71	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $13.49	Professional		$6.92	$9.77	$13.49