Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $26.30	Professional		$16.98	$19.95	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $37.15 / $51.29	Facility		$34.67	$37.15	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $57.54	Professional		$20.42	$27.54	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $23.44 / $30.20	Facility		$2.95	$23.44	$30.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $20.42 / $28.18	Professional		$2.14	$20.42	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $36.31	Professional		$19.50	$19.50	$36.31
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $29.51	Facility		$22.91	$22.91	$29.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.91 / $29.51	Professional		$19.50	$22.91	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $23.99 / $38.90	Professional		$19.50	$23.99	$38.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $34.67 / $57.54	Professional		$29.51	$34.67	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.58 / $13.49 / $24.55	Facility		$1.58	$13.49	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $23.99	Professional		$10.96	$16.22	$23.99