Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $14.79 / $22.91	Facility		$7.41	$14.79	$22.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.41 / $18.20	Professional		$7.08	$7.41	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $13.80 / $38.02	Facility		$7.94	$13.80	$38.02
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 $10.72 / $10.72 / $10.72	Facility		$10.72	$10.72	$10.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $14.45	Professional		$10.72	$10.72	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $17.38	Facility		$7.08	$7.08	$17.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $16.22	Professional		$7.41	$7.41	$16.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.41 / $85.11	Facility		$7.08	$7.41	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $41.69	Professional		$7.41	$7.41	$41.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.72 / $13.80	Professional		$7.41	$10.72	$13.80
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $20.42	Professional		$7.76	$10.72	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $7.41 / $10.72	Facility		$7.41	$7.41	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.94 / $10.72	Professional		$7.41	$7.94	$10.72