Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.02 / $3.02 / $23.44	Facility		$3.02	$3.02	$23.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $3.02 / $3.02	Professional		$3.02	$3.02	$3.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $28.18 / $44.67	Professional		$23.44	$28.18	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $26.30 / $29.51	Facility		$22.91	$26.30	$29.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $30.90	Professional		$29.51	$29.51	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $23.44 / $35.48	Professional		$15.14	$23.44	$35.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $30.90 / $63.10	Professional		$27.54	$30.90	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $14.13 / $19.50	Professional		$7.94	$14.13	$19.50