Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $25.12 / $41.69	Facility		$14.79	$25.12	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.14 / $32.36	Professional		$14.13	$15.14	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $97.72	Facility		$16.22	$32.36	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $16.60 / $26.30	Professional		$14.79	$16.60	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $16.60	Facility		$16.60	$16.60	$16.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Facility		$14.13	$14.13	$14.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $48.98	Professional		$14.79	$14.79	$48.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.79	Facility		$14.13	$14.13	$14.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $48.98	Professional		$14.79	$14.79	$48.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $22.91	Professional		$14.79	$18.62	$22.91
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $26.92 / $37.15	Professional		$15.85	$26.92	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $16.60	Professional		$14.79	$14.79	$16.60