Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $42.66	Professional		$20.89	$32.36	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $41.69 / $87.10	Professional		$31.62	$41.69	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $26.92 / $51.29	Facility		$3.09	$26.92	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.07 / $33.11 / $47.86	Professional		$4.07	$33.11	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $52.48	Facility		$26.30	$26.30	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $52.48	Professional		$22.39	$22.39	$52.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $52.48	Facility		$26.30	$26.30	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.30 / $45.71	Professional		$22.39	$26.30	$45.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $60.26	Professional		$30.20	$37.15	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $89.13	Professional		$45.71	$53.70	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $20.89 / $38.90	Facility		$2.57	$20.89	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $39.81	Professional		$16.98	$25.12	$39.81