Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $97.72	Facility		$6.76	$13.49	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $14.45	Professional		$6.03	$6.03	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.45 / $43.65	Facility		$7.24	$14.45	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.59 / $12.88	Professional		$6.76	$7.59	$12.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.76	Facility		$6.31	$6.31	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $95.50	Professional		$6.76	$6.76	$95.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.76	Facility		$6.31	$6.31	$6.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $95.50	Professional		$6.76	$6.76	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.77 / $22.39	Professional		$6.76	$9.77	$22.39
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $14.13 / $19.50	Professional		$8.32	$14.13	$19.50
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $12.88	Professional		$6.76	$6.76	$12.88