Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.84 / $36.31	Facility		$19.95	$28.84	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $19.05 / $28.84	Professional		$15.14	$19.05	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $41.69 / $83.18	Facility		$38.90	$41.69	$83.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.39 / $50.12	Professional		$18.62	$22.39	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.84 / $45.71	Facility		$19.05	$28.84	$45.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $34.67 / $52.48	Professional		$25.12	$34.67	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $52.48	Facility		$21.38	$21.38	$52.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $21.38	Professional		$15.49	$15.49	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $25.70 / $37.15	Professional		$18.20	$25.70	$37.15
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $81.28	Professional		$38.90	$43.65	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $18.62 / $39.81	Facility		$13.18	$18.62	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.20 / $26.30	Professional		$12.88	$18.20	$26.30