Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $33.11	Professional		$19.95	$25.12	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $46.77 / $66.07	Facility		$43.65	$46.77	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $33.11 / $60.26	Professional		$27.54	$33.11	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $21.88 / $40.74	Facility		$2.29	$21.88	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $26.92 / $39.81	Professional		$2.95	$26.92	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $35.48	Facility		$26.92	$26.92	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $42.66	Professional		$22.91	$22.91	$42.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $42.66	Facility		$26.92	$26.92	$42.66
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $23.44 / $35.48	Professional		$22.91	$23.44	$35.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $32.36 / $52.48	Professional		$26.30	$32.36	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $77.62	Professional		$39.81	$46.77	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $1.91 / $15.85 / $28.84	Facility		$1.91	$15.85	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $20.42 / $30.20	Professional		$13.49	$20.42	$30.20