Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $42.66	Facility		$15.49	$30.20	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $21.88	Professional		$15.14	$15.14	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $33.11 / $100.00	Facility		$16.60	$33.11	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $16.98 / $26.92	Professional		$15.49	$16.98	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.49	Facility		$14.45	$14.45	$15.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $28.84	Professional		$15.49	$15.49	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $15.49	Facility		$14.45	$14.45	$15.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $28.84	Professional		$15.49	$15.49	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.42 / $25.70	Professional		$15.49	$20.42	$25.70
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $25.70 / $35.48	Professional		$15.14	$25.70	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $19.05	Professional		$15.49	$15.49	$19.05