Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.47 / $28.75 / $55.71	Facility		$14.47	$28.75	$55.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $14.47 / $26.11	Professional		$9.05	$14.47	$26.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.97 / $19.89 / $32.01	Facility		$15.97	$19.89	$32.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $7.40 / $11.11	Professional		$6.12	$7.40	$11.11
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $14.47 / $14.47	Professional		$14.47	$14.47	$14.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.10 / $18.09 / $24.42	Facility		$14.10	$18.09	$24.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $23.52 / $24.42	Professional		$15.38	$23.52	$24.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $18.63 / $38.10	Facility		$11.76	$18.63	$38.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $13.29 / $25.97	Professional		$8.26	$13.29	$25.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.76 / $18.63 / $70.19	Facility		$11.76	$18.63	$70.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.76 / $21.70	Professional		$8.19	$11.76	$21.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $14.92 / $21.71	Professional		$13.57	$14.92	$21.71
United Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
United Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $15.00 / $20.80	Professional		$9.94	$15.00	$20.80