Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $19.95 / $23.99	Facility		$14.13	$19.95	$23.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $19.95	Professional		$10.00	$14.13	$19.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $13.18 / $28.84	Professional		$10.47	$13.18	$28.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $26.92 / $30.90	Facility		$23.44	$26.92	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $31.62	Professional		$30.90	$30.90	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.45 / $19.95	Professional		$12.02	$14.45	$19.95
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.92 / $56.23	Professional		$23.99	$26.92	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $10.96 / $14.79	Professional		$6.61	$10.96	$14.79