Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $18.62 / $27.54	Facility		$8.71	$18.62	$27.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $11.22	Professional		$7.94	$8.91	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $58.88	Facility		$10.00	$19.50	$58.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.18 / $19.95	Professional		$10.23	$13.18	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $3.09 / $3.55	Facility		$3.09	$3.09	$3.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $85.11	Facility		$9.33	$9.33	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.75	Professional		$9.33	$9.33	$11.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $85.11	Facility		$9.33	$9.33	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $11.75	Professional		$9.33	$9.33	$11.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.18 / $17.38	Professional		$12.02	$13.18	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.02 / $22.39	Professional		$9.77	$12.02	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $9.12 / $9.33	Professional		$8.71	$9.12	$9.33