Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $25.28 / $41.93	Facility		$10.89	$25.28	$41.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $10.89 / $19.64	Professional		$10.89	$10.89	$19.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $14.97 / $24.09	Facility		$12.02	$14.97	$24.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $14.69	Professional		$5.62	$5.62	$14.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $13.61 / $18.37	Facility		$10.68	$13.61	$18.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $17.69 / $18.37	Professional		$11.57	$17.69	$18.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $14.02 / $47.67	Facility		$8.85	$14.02	$47.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $9.14 / $19.62	Professional		$6.27	$9.14	$19.62
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.85 / $14.02 / $47.67	Facility		$8.85	$14.02	$47.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $7.41 / $15.30	Professional		$6.27	$7.41	$15.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $12.25 / $16.84	Professional		$10.21	$12.25	$16.84
United Facility/Professional Professional Modifier Low / Median / High Price $5.72 / $8.17 / $17.82	Professional		$5.72	$8.17	$17.82