Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $18.20	Professional		$10.96	$12.88	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.70 / $36.31	Facility		$23.99	$25.70	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $17.38 / $39.81	Professional		$16.60	$17.38	$39.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.09 / $12.02 / $23.44	Facility		$2.09	$12.02	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1.51 / $15.14 / $21.38	Professional		$1.51	$15.14	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $16.60	Facility		$14.45	$14.45	$16.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $26.30	Professional		$12.30	$12.30	$26.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $23.44	Facility		$14.45	$14.45	$23.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $19.95	Professional		$12.30	$14.45	$19.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $30.90	Professional		$15.49	$19.50	$30.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $23.99 / $39.81	Professional		$20.42	$23.99	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $1.12 / $9.33 / $16.98	Facility		$1.12	$9.33	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $17.38	Professional		$7.76	$11.48	$17.38