Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $34.50 / $50.90	Facility		$13.22	$34.50	$50.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $13.22 / $23.86	Professional		$13.22	$13.22	$23.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $18.17 / $29.24	Facility		$14.59	$18.17	$29.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.16 / $8.16 / $18.01	Professional		$8.16	$8.16	$18.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $16.52 / $22.30	Facility		$11.27	$16.52	$22.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $21.48 / $22.30	Professional		$14.04	$21.48	$22.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $17.01 / $61.67	Facility		$10.74	$17.01	$61.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $13.25 / $24.04	Professional		$8.42	$13.25	$24.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.74 / $17.01 / $62.63	Facility		$10.74	$17.01	$62.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $10.74 / $22.17	Professional		$8.42	$10.74	$22.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.39 / $13.62 / $19.82	Professional		$12.39	$13.62	$19.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $12.23 / $22.05	Professional		$6.94	$12.23	$22.05