Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.44 / $35.08 / $60.75	Facility		$19.44	$35.08	$60.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.44 / $19.44 / $30.45	Professional		$19.44	$19.44	$30.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $26.73 / $43.00	Facility		$21.46	$26.73	$43.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $26.24	Professional		$12.00	$12.00	$26.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $24.30 / $32.81	Facility		$16.57	$24.30	$32.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.66 / $31.59 / $32.81	Professional		$20.66	$31.59	$32.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $25.03 / $54.83	Facility		$15.80	$25.03	$54.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $19.51 / $35.38	Professional		$12.38	$19.51	$35.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $25.03 / $92.19	Facility		$15.80	$25.03	$92.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $15.80 / $32.65	Professional		$12.38	$15.80	$32.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $20.05 / $29.16	Professional		$18.23	$20.05	$29.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $14.58 / $33.96	Professional		$8.15	$14.58	$33.96