Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.44 / $38.02	Facility		$15.14	$23.44	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.05	Professional		$10.96	$12.88	$19.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $16.98 / $29.51	Facility		$14.79	$16.98	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.92 / $17.38	Professional		$5.62	$6.92	$17.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $18.20	Facility		$10.96	$10.96	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $251.19 / $436.52	Professional		$19.50	$251.19	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $33.88	Facility		$10.47	$10.47	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $18.20 / $22.91	Professional		$10.47	$18.20	$22.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $16.60 / $33.88	Facility		$10.47	$16.60	$33.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $10.47	Professional		$10.47	$10.47	$10.47
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $16.98 / $31.62	Professional		$10.47	$16.98	$31.62
United Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $10.47 / $15.85	Facility		$5.75	$10.47	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $16.98	Professional		$6.76	$9.55	$16.98