Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $51.29	Facility		$18.62	$31.62	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.62 / $23.99	Professional		$18.20	$18.62	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $30.20 / $66.07	Facility		$19.95	$30.20	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $20.89 / $32.36	Professional		$18.62	$20.89	$32.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $18.62	Facility		$17.38	$17.38	$18.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $28.84	Professional		$18.62	$18.62	$28.84
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $18.62	Facility		$17.38	$17.38	$18.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $28.84	Professional		$18.62	$18.62	$28.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $26.30	Professional		$18.20	$22.91	$26.30
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.90 / $42.66	Professional		$19.05	$30.90	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.62 / $18.62	Facility		$18.20	$18.62	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $19.95	Professional		$18.62	$18.62	$19.95