Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $19.05	Facility		$10.96	$10.96	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $25.12	Professional		$7.94	$12.02	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $9.55 / $21.38	Professional		$7.41	$9.55	$21.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $20.89 / $23.44	Facility		$18.20	$20.89	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $24.55	Professional		$23.44	$23.44	$24.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $15.85	Professional		$5.01	$5.89	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $42.66	Professional		$18.20	$21.88	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $8.51 / $10.96	Professional		$5.13	$8.51	$10.96