Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $26.92 / $33.11	Facility		$18.20	$26.92	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $26.92	Professional		$14.13	$18.20	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $38.02 / $77.62	Facility		$36.31	$38.02	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.42 / $45.71	Professional		$17.38	$20.42	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $42.66	Facility		$17.78	$26.30	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $31.62 / $47.86	Professional		$22.91	$31.62	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $24.55	Professional		$17.78	$17.78	$24.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $47.86	Facility		$24.55	$24.55	$47.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $22.91	Professional		$17.78	$17.78	$22.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.18 / $19.05	Professional		$9.55	$13.18	$19.05
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $39.81 / $74.13	Professional		$36.31	$39.81	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $16.98 / $36.31	Facility		$12.02	$16.98	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.60 / $23.99	Professional		$11.75	$16.60	$23.99