Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $56.23	Facility		$30.20	$30.20	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $32.36	Professional		$30.20	$30.90	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $30.20 / $43.65	Professional		$26.92	$30.20	$43.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.92	Facility		$25.12	$25.12	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Professional		$26.92	$26.92	$51.29
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $26.92	Facility		$25.12	$25.12	$26.92
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $51.29	Professional		$26.92	$26.92	$51.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $50.12	Professional		$39.81	$50.12	$50.12
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.88	Professional		$32.36	$32.36	$33.88