Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.88 / $15.85	Facility		$8.91	$12.88	$15.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $13.18	Professional		$6.03	$8.91	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $18.62	Professional		$6.76	$8.51	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.38 / $19.95	Facility		$15.14	$17.38	$19.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $20.42	Professional		$19.95	$19.95	$20.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $7.76	Professional		$7.76	$7.76	$7.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $12.88	Professional		$7.94	$9.55	$12.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $17.38 / $36.31	Professional		$15.49	$17.38	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $4.37 / $7.24 / $9.55	Professional		$4.37	$7.24	$9.55