Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.02 / $15.85	Professional		$7.08	$12.02	$15.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.91 / $19.95	Professional		$6.46	$8.91	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.92	Professional		$26.30	$26.30	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Professional		$7.24	$7.24	$7.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.18 / $17.38	Professional		$8.51	$13.18	$17.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $15.49 / $25.70	Professional		$13.18	$15.49	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.41 / $9.12	Professional		$5.01	$7.41	$9.12