Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $27.95 / $40.61	Facility		$10.55	$27.95	$40.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.55 / $10.55 / $19.04	Professional		$10.55	$10.55	$19.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $14.51 / $23.34	Facility		$11.65	$14.51	$23.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $14.24	Professional		$6.51	$6.51	$14.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.59 / $13.19 / $17.80	Facility		$10.59	$13.19	$17.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $17.14 / $17.80	Professional		$11.21	$17.14	$17.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $13.57 / $55.22	Facility		$8.57	$13.57	$55.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $10.58 / $19.19	Professional		$6.77	$10.58	$19.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.57 / $13.57 / $55.22	Facility		$8.57	$13.57	$55.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $8.57 / $17.70	Professional		$6.77	$8.57	$17.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.87 / $15.82	Professional		$7.25	$10.87	$15.82
United Facility/Professional Professional Modifier Low / Median / High Price $5.54 / $7.93 / $18.43	Professional		$5.54	$7.93	$18.43