Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $29.51 / $43.65	Facility		$12.59	$29.51	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $14.13 / $17.38	Professional		$10.96	$14.13	$17.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.07	Facility		$0.02	$0.02	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $50.12	Professional		$23.44	$33.88	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $30.20 / $30.20	Professional		$23.44	$30.20	$30.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $30.20 / $30.20	Professional		$17.38	$30.20	$30.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $43.65	Professional		$30.20	$38.02	$43.65
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $19.05	Professional		$17.38	$17.38	$19.05