Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $32.36	Professional		$19.05	$23.99	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $43.65 / $61.66	Facility		$40.74	$43.65	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $67.61	Professional		$26.30	$31.62	$67.61
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $19.95 / $37.15	Facility		$2.34	$19.95	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $23.99 / $35.48	Professional		$3.02	$23.99	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $33.88	Facility		$25.70	$25.70	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $38.02	Professional		$21.88	$21.88	$38.02
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $38.02	Facility		$25.70	$25.70	$38.02
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $33.88	Professional		$21.88	$25.70	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $30.90 / $48.98	Professional		$24.55	$30.90	$48.98
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $72.44	Professional		$37.15	$43.65	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $16.60 / $28.18	Facility		$2.29	$16.60	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $19.95 / $30.90	Professional		$13.18	$19.95	$30.90