Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.54 / $30.12 / $84.68	Facility		$11.54	$30.12	$84.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.21 / $11.54 / $13.71	Professional		$7.21	$11.54	$13.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.74 / $15.87 / $25.54	Facility		$12.74	$15.87	$25.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $15.58	Professional		$5.92	$5.92	$15.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $14.43 / $19.48	Facility		$10.76	$14.43	$19.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.27 / $18.76 / $19.48	Professional		$12.27	$18.76	$19.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $14.86 / $30.39	Facility		$9.38	$14.86	$30.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $9.61 / $21.17	Professional		$6.60	$9.61	$21.17
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.38 / $14.86 / $49.25	Facility		$9.38	$14.86	$49.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.60 / $7.89 / $16.09	Professional		$6.60	$7.89	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $11.90 / $17.31	Professional		$10.82	$11.90	$17.31
United Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $8.66 / $18.21	Professional		$6.06	$8.66	$18.21