Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.88 / $18.23 / $26.49	Facility		$6.88	$18.23	$26.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.88 / $6.88 / $12.42	Professional		$6.88	$6.88	$12.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $9.46 / $15.22	Facility		$7.59	$9.46	$15.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $4.25 / $9.27	Professional		$4.25	$4.25	$9.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.78 / $8.60 / $11.61	Facility		$5.78	$8.60	$11.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.31 / $11.18 / $11.61	Professional		$7.31	$11.18	$11.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $8.85 / $32.60	Facility		$5.59	$8.85	$32.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $6.90 / $12.52	Professional		$4.29	$6.90	$12.52
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.59 / $8.85 / $33.72	Facility		$5.59	$8.85	$33.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $5.59 / $11.56	Professional		$4.29	$5.59	$11.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $7.74 / $10.64	Professional		$6.45	$7.74	$10.64
United Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $3.61 / $5.16 / $12.02	Professional		$3.61	$5.16	$12.02