Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $15.14 / $19.50	Facility		$10.96	$15.14	$19.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $15.14	Professional		$7.94	$10.96	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $22.39 / $44.67	Facility		$20.89	$22.39	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.02 / $26.92	Professional		$10.00	$12.02	$26.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $23.44	Facility		$9.77	$14.79	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.78 / $26.30	Professional		$12.88	$17.78	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.49	Professional		$9.77	$9.77	$13.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $26.92	Facility		$13.49	$13.49	$26.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.49	Professional		$9.77	$9.77	$13.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $18.20	Professional		$8.91	$12.59	$18.20
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.44 / $43.65	Professional		$20.89	$23.44	$43.65
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $10.23 / $22.91	Facility		$7.94	$10.23	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.77 / $14.79	Professional		$6.92	$9.77	$14.79