Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $33.11 / $40.74	Facility		$22.91	$33.11	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $33.11	Professional		$16.98	$21.88	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $45.71 / $93.33	Facility		$43.65	$45.71	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.12 / $56.23	Professional		$20.89	$25.12	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $32.36 / $51.29	Facility		$21.38	$32.36	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $38.90 / $58.88	Professional		$28.18	$38.90	$58.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $26.92	Professional		$19.50	$19.50	$26.92
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $58.88	Facility		$26.92	$26.92	$58.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $26.92	Professional		$19.50	$19.50	$26.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $29.51	Professional		$14.79	$20.42	$29.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $48.98 / $89.13	Professional		$43.65	$48.98	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $20.89 / $44.67	Facility		$14.79	$20.89	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.42 / $29.51	Professional		$14.13	$20.42	$29.51