Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.04 / $41.86 / $65.09	Facility		$16.04	$41.86	$65.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.04 / $16.04 / $28.94	Professional		$16.04	$16.04	$28.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.70 / $21.65 / $35.47	Facility		$17.70	$21.65	$35.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.87 / $29.27	Professional		$9.90	$12.87	$29.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.05 / $25.06 / $30.08	Facility		$20.05	$25.06	$30.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.07 / $27.07 / $48.12	Professional		$26.07	$27.07	$48.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $22.80 / $114.40	Facility		$20.63	$22.80	$114.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $17.89 / $38.89	Professional		$10.24	$17.89	$38.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.63 / $22.80 / $114.40	Facility		$20.63	$22.80	$114.40
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $17.89 / $47.29	Professional		$10.24	$17.89	$47.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.79 / $18.04 / $24.81	Professional		$15.79	$18.04	$24.81
United Facility/Professional Professional Modifier Low / Median / High Price $8.42 / $12.03 / $30.44	Professional		$8.42	$12.03	$30.44