Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $55.49 / $81.84	Facility		$21.26	$55.49	$81.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $21.26 / $38.36	Professional		$21.26	$21.26	$38.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $29.24 / $47.04	Facility		$23.47	$29.24	$47.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $13.12 / $28.70	Professional		$13.12	$13.12	$28.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $26.58 / $35.88	Facility		$13.73	$26.58	$35.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.59 / $34.54 / $35.88	Professional		$22.59	$34.54	$35.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $27.37 / $100.75	Facility		$17.28	$27.37	$100.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $21.33 / $38.68	Professional		$13.54	$21.33	$38.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $17.28 / $27.37 / $102.56	Facility		$17.28	$27.37	$102.56
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $17.28 / $35.69	Professional		$13.54	$17.28	$35.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.94 / $21.93 / $31.90	Professional		$19.94	$21.93	$31.90
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $15.95 / $37.13	Professional		$11.16	$15.95	$37.13