Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $19.95 / $302.00	Facility		$10.96	$19.95	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $20.89	Professional		$9.12	$14.13	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $42.66	Professional		$22.39	$26.30	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.89 / $24.55	Facility		$17.38	$20.89	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.44 / $26.92	Professional		$19.95	$23.44	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $169.82 / $223.87	Facility		$34.67	$169.82	$223.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $50.12	Professional		$30.20	$30.20	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.75 / $18.62	Professional		$7.76	$11.75	$18.62