Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $25.12	Professional		$15.85	$19.05	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $35.48 / $50.12	Facility		$33.11	$35.48	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $52.48	Professional		$23.99	$25.12	$52.48
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $34.67 / $36.31	Professional		$33.11	$34.67	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1.74 / $16.98 / $30.90	Facility		$1.74	$16.98	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $20.89 / $30.90	Professional		$2.24	$20.89	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $32.36	Facility		$21.38	$21.38	$32.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $32.36	Professional		$18.20	$18.20	$32.36
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $32.36	Facility		$21.38	$21.38	$32.36
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $18.20 / $28.18	Professional		$16.60	$18.20	$28.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $28.84 / $45.71	Professional		$22.91	$28.84	$45.71
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $33.88 / $57.54	Professional		$28.84	$33.88	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $1.62 / $13.49 / $24.55	Facility		$1.62	$13.49	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $16.22 / $24.55	Professional		$10.72	$16.22	$24.55