Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $53.70 / $87.10	Facility		$28.18	$53.70	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $57.54	Professional		$23.99	$28.84	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $37.15 / $64.57	Facility		$32.36	$37.15	$64.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $20.89 / $45.71	Professional		$17.38	$20.89	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $131.83	Facility		$22.91	$22.91	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $31.62 / $69.18	Professional		$17.78	$31.62	$69.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $36.31 / $131.83	Facility		$23.44	$36.31	$131.83
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $69.18	Professional		$17.78	$26.92	$69.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $43.65	Professional		$26.30	$31.62	$43.65
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $43.65 / $81.28	Professional		$29.51	$43.65	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $31.62 / $35.48	Facility		$12.59	$31.62	$35.48
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $47.86	Professional		$14.79	$20.89	$47.86