Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.26 / $55.64 / $89.55	Facility		$23.26	$55.64	$89.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.41 / $23.26 / $27.63	Professional		$15.41	$23.26	$27.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $31.99 / $51.46	Facility		$25.68	$31.99	$51.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $12.37 / $31.40	Professional		$12.37	$12.37	$31.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $29.08 / $39.26	Facility		$19.64	$29.08	$39.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $37.79 / $39.26	Professional		$24.72	$37.79	$39.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $29.94 / $61.24	Facility		$18.89	$29.94	$61.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $20.10 / $41.82	Professional		$13.37	$20.10	$41.82
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $29.94 / $99.23	Facility		$18.89	$29.94	$99.23
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $13.37 / $16.41 / $33.65	Professional		$13.37	$16.41	$33.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $23.99 / $34.89	Professional		$21.81	$23.99	$34.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.21 / $17.45 / $46.91	Professional		$12.21	$17.45	$46.91