Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.18 / $36.43 / $63.66	Facility		$15.18	$36.43	$63.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $14.99 / $15.92	Professional		$9.11	$14.99	$15.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.19 / $18.92 / $30.44	Facility		$15.19	$18.92	$30.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $8.50 / $18.57	Professional		$8.50	$8.50	$18.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $17.20 / $23.22	Facility		$11.74	$17.20	$23.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $22.36 / $23.22	Professional		$14.62	$22.36	$23.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $17.71 / $38.81	Facility		$11.18	$17.71	$38.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $13.81 / $25.05	Professional		$8.75	$13.81	$25.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.18 / $17.71 / $65.26	Facility		$11.18	$17.71	$65.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.75 / $11.20 / $23.09	Professional		$8.75	$11.20	$23.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $14.19 / $20.64	Professional		$12.90	$14.19	$20.64
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.32 / $24.04	Professional		$7.22	$10.32	$24.04