Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.50 / $31.62	Facility		$10.23	$19.50	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $25.12	Professional		$8.71	$10.23	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $13.49 / $23.44	Facility		$11.75	$13.49	$23.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $6.76 / $15.85	Professional		$5.50	$6.76	$15.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $14.45	Facility		$10.00	$10.00	$14.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $43.65	Facility		$8.32	$8.32	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $18.20	Professional		$5.75	$7.24	$18.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.18 / $43.65	Facility		$8.32	$13.18	$43.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.24 / $15.49	Professional		$5.75	$7.24	$15.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $10.47 / $15.85	Professional		$6.92	$10.47	$15.85
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $29.51	Professional		$8.32	$13.18	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $8.32 / $12.59	Facility		$4.57	$8.32	$12.59
United Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.59 / $15.14	Professional		$5.37	$7.59	$15.14