Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $15.14 / $25.12	Facility		$8.91	$15.14	$25.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $11.75	Professional		$7.94	$8.91	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.60 / $45.71	Facility		$9.77	$16.60	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.77 / $15.85	Professional		$8.91	$9.77	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Facility		$9.12	$9.12	$9.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.91	Facility		$8.51	$8.51	$8.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.59	Professional		$8.91	$8.91	$12.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.51 / $8.91	Facility		$8.51	$8.51	$8.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $12.59	Professional		$8.91	$8.91	$12.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $12.88	Professional		$8.91	$11.22	$12.88
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $14.79 / $20.42	Professional		$8.91	$14.79	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $8.91 / $9.12	Facility		$8.91	$8.91	$9.12
United Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $9.55	Professional		$8.91	$8.91	$9.55