Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $19.95 / $29.51	Facility		$9.33	$19.95	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $12.02	Professional		$8.91	$10.00	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $20.89 / $63.10	Facility		$10.47	$20.89	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $10.47	Professional		$2.75	$3.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.85	Professional		$10.00	$10.00	$15.85
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $15.85	Professional		$10.00	$10.00	$15.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.75 / $3.47 / $4.07	Professional		$2.75	$3.47	$4.07
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $14.13 / $23.99	Professional		$10.47	$14.13	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $10.72	Professional		$9.77	$9.77	$10.72