Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $16.60 / $20.89	Facility		$7.59	$16.60	$20.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $9.12	Professional		$7.08	$7.08	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $14.13 / $38.90	Facility		$8.13	$14.13	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.51 / $13.80	Professional		$7.59	$8.51	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Professional		$10.23	$10.23	$10.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $6.76 / $6.76	Facility		$6.61	$6.76	$6.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.00	Professional		$6.76	$6.76	$10.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $6.76 / $6.76	Facility		$6.76	$6.76	$6.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $6.76 / $10.00	Professional		$6.76	$6.76	$10.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.33 / $17.38	Professional		$7.94	$9.33	$17.38
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $7.08 / $7.41	Facility		$7.08	$7.08	$7.41
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.59 / $8.13	Professional		$7.59	$7.59	$8.13