Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $22.39 / $30.90	Facility		$9.77	$22.39	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.00 / $12.59	Professional		$8.91	$10.00	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $22.39 / $67.61	Facility		$11.22	$22.39	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.37 / $11.48	Professional		$4.17	$5.37	$11.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $2.82 / $3.24	Facility		$2.45	$2.82	$3.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $85.11	Facility		$10.47	$10.47	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.30	Professional		$10.47	$10.47	$12.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $85.11	Facility		$10.47	$10.47	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $12.30	Professional		$10.47	$10.47	$12.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.57 / $6.17	Professional		$4.17	$4.57	$6.17
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.80 / $25.70	Professional		$11.22	$13.80	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $10.47 / $11.75	Professional		$9.77	$10.47	$11.75