Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $22.91 / $48.98	Facility		$10.72	$22.91	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $25.70	Professional		$7.94	$10.96	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $13.80 / $24.55	Facility		$12.02	$13.80	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.94 / $16.98	Professional		$6.46	$7.94	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $15.14	Facility		$10.47	$10.47	$15.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $8.71 / $44.67	Facility		$8.51	$8.71	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $19.05	Professional		$6.76	$8.51	$19.05
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.49 / $44.67	Facility		$8.51	$13.49	$44.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.51 / $18.20	Professional		$6.76	$8.51	$18.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.75 / $16.22	Professional		$8.91	$11.75	$16.22
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.80 / $30.90	Professional		$8.51	$13.80	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $9.12 / $13.18	Facility		$4.79	$9.12	$13.18
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.94 / $15.85	Professional		$5.50	$7.94	$15.85