Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $18.20	Professional		$10.96	$14.13	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $26.92 / $38.02	Facility		$25.12	$26.92	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $41.69	Professional		$15.14	$18.20	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.86 / $12.30 / $18.62	Facility		$1.86	$12.30	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.62 / $14.79 / $22.39	Professional		$1.62	$14.79	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $24.55	Facility		$13.80	$13.80	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $24.55	Professional		$11.75	$11.75	$24.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $24.55	Facility		$13.80	$13.80	$24.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $13.80 / $18.20	Professional		$11.75	$13.80	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $17.78 / $28.18	Professional		$14.13	$17.78	$28.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $42.66	Professional		$21.38	$25.12	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $1.02 / $8.32 / $15.85	Facility		$1.02	$8.32	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.22 / $15.85	Professional		$7.24	$11.22	$15.85