Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $46.77 / $85.11	Facility		$22.39	$46.77	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $54.95	Professional		$15.49	$20.89	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.12 / $43.65	Facility		$21.88	$25.12	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $30.20	Professional		$11.48	$14.45	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $26.92	Facility		$16.22	$16.22	$26.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $77.62	Facility		$15.49	$15.49	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $15.14 / $33.88	Professional		$11.75	$15.14	$33.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $25.70 / $77.62	Facility		$15.49	$25.70	$77.62
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $15.49 / $32.36	Professional		$12.30	$15.49	$32.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $29.51	Professional		$15.85	$19.50	$29.51
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $24.55 / $54.95	Professional		$15.49	$24.55	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $15.85 / $23.44	Facility		$8.51	$15.85	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $28.18	Professional		$10.00	$14.13	$28.18