Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $32.36 / $42.66	Professional		$26.92	$32.36	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $60.26 / $85.11	Facility		$57.54	$60.26	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $40.74 / $93.33	Professional		$39.81	$40.74	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $28.18 / $56.23	Facility		$5.01	$28.18	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $37.15 / $51.29	Professional		$3.63	$37.15	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $56.23	Facility		$37.15	$37.15	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $56.23	Professional		$30.90	$30.90	$56.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $56.23	Facility		$37.15	$37.15	$56.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $37.15 / $47.86	Professional		$30.90	$37.15	$47.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $74.13	Professional		$37.15	$46.77	$74.13
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $95.50	Professional		$48.98	$57.54	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $2.69 / $22.39 / $40.74	Facility		$2.69	$22.39	$40.74
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $27.54 / $41.69	Professional		$18.62	$27.54	$41.69