Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.70 / $51.29	Facility		$13.80	$25.70	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $14.79 / $30.20	Professional		$12.02	$14.79	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $30.90	Facility		$15.49	$17.78	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.47 / $21.88	Professional		$8.32	$10.47	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $19.50	Facility		$13.49	$13.49	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $10.96 / $64.57	Facility		$10.96	$10.96	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.55 / $23.99	Professional		$8.51	$9.55	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $17.38 / $64.57	Facility		$10.96	$17.38	$64.57
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $9.55 / $17.38	Professional		$8.51	$9.55	$17.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $20.89	Professional		$11.48	$13.80	$20.89
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.78 / $38.90	Professional		$10.96	$17.78	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $11.48 / $16.98	Facility		$6.03	$11.48	$16.98
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $20.42	Professional		$7.08	$10.00	$20.42