Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.95 / $28.84	Facility		$10.23	$19.95	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $22.91	Professional		$8.91	$10.96	$22.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.99	Facility		$11.75	$13.49	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $16.60	Professional		$5.89	$7.24	$16.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $14.79	Facility		$8.71	$8.71	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Professional		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $44.67	Facility		$8.32	$8.32	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $18.62	Professional		$5.89	$7.76	$18.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.18 / $44.67	Facility		$8.32	$13.18	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.76 / $16.60	Professional		$5.89	$7.76	$16.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.72 / $15.85	Professional		$8.71	$10.72	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.49 / $30.20	Professional		$8.32	$13.49	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $8.32 / $12.88	Facility		$4.68	$8.32	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.76 / $15.49	Professional		$5.37	$7.76	$15.49