Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $38.02	Professional		$22.91	$28.84	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $75.86	Facility		$50.12	$53.70	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $37.15 / $69.18	Professional		$32.36	$37.15	$69.18
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.63 / $22.91 / $46.77	Facility		$2.63	$22.91	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $30.20 / $41.69	Professional		$3.47	$30.20	$41.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Facility		$30.90	$30.90	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $47.86	Professional		$26.30	$26.30	$47.86
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $39.81	Facility		$30.90	$30.90	$39.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $39.81	Professional		$26.30	$30.90	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $60.26	Professional		$30.20	$38.02	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $89.13	Professional		$45.71	$53.70	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $2.19 / $18.20 / $33.88	Facility		$2.19	$18.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.99 / $34.67	Professional		$15.49	$23.99	$34.67