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 $15.14 / $19.05 / $25.12	Professional		$15.14	$19.05	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $36.31 / $51.29	Facility		$33.88	$36.31	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.12 / $56.23	Professional		$21.88	$25.12	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.82 / $16.60 / $31.62	Facility		$1.82	$16.60	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $20.42 / $29.51	Professional		$2.34	$20.42	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $26.92	Facility		$20.89	$20.89	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $32.36	Professional		$17.78	$17.78	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $32.36	Facility		$20.89	$20.89	$32.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.89 / $26.92	Professional		$17.78	$20.89	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $25.70 / $40.74	Professional		$20.42	$25.70	$40.74
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $36.31 / $60.26	Professional		$30.90	$36.31	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $1.51 / $12.30 / $22.91	Facility		$1.51	$12.30	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.22 / $23.44	Professional		$10.47	$16.22	$23.44