Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.59 / $45.91 / $62.07	Facility		$17.59	$45.91	$62.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.59 / $17.59 / $31.74	Professional		$17.59	$17.59	$31.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $24.19 / $38.92	Facility		$19.42	$24.19	$38.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $23.74	Professional		$10.86	$10.86	$23.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $21.99 / $29.69	Facility		$15.00	$21.99	$29.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.69 / $28.59 / $29.69	Professional		$18.69	$28.59	$29.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $22.64 / $73.63	Facility		$14.29	$22.64	$73.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $17.64 / $32.00	Professional		$11.23	$17.64	$32.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $22.64 / $83.37	Facility		$14.29	$22.64	$83.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $14.29 / $29.51	Professional		$11.23	$14.29	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $18.13 / $26.38	Professional		$16.48	$18.13	$26.38
United Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $21.99 / $21.99	Facility		$14.29	$21.99	$21.99
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.46 / $30.71	Professional		$9.24	$13.46	$30.71