Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.79 / $20.42	Facility		$7.41	$14.79	$20.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.41 / $15.49	Professional		$7.08	$7.41	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $15.85 / $47.86	Facility		$7.94	$15.85	$47.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.51 / $13.18	Professional		$7.41	$8.51	$13.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $12.30	Facility		$8.13	$8.13	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $19.05	Professional		$8.13	$8.13	$19.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $6.92 / $7.41	Facility		$6.92	$6.92	$7.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $14.45	Professional		$7.41	$7.41	$14.45
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $7.41 / $85.11	Facility		$6.03	$7.41	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $39.81	Professional		$7.41	$7.41	$39.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.91 / $11.48	Professional		$7.41	$8.91	$11.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.32 / $14.79	Professional		$6.76	$8.32	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $8.13 / $8.13	Facility		$8.13	$8.13	$8.13
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $8.32	Professional		$4.90	$7.41	$8.32