Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $14.13	Facility		$7.08	$7.08	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.08 / $10.96	Professional		$5.01	$7.08	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.85 / $32.36	Facility		$15.14	$15.85	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $8.71 / $19.50	Professional		$7.41	$8.71	$19.50
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Professional		$12.59	$12.59	$12.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $10.00 / $15.85	Facility		$6.61	$10.00	$15.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $18.20	Professional		$8.71	$12.02	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.55	Professional		$7.08	$7.08	$9.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.55 / $9.55	Facility		$9.55	$9.55	$9.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.33	Professional		$7.08	$7.08	$9.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.12 / $12.88	Professional		$6.46	$9.12	$12.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $30.90	Professional		$15.14	$16.98	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $10.00 / $15.49	Facility		$6.03	$10.00	$15.49
United Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $7.41 / $10.23	Professional		$4.90	$7.41	$10.23