Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.80 / $28.34 / $49.28	Facility		$12.80	$28.34	$49.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $12.80 / $23.10	Professional		$12.80	$12.80	$23.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $17.60 / $28.32	Facility		$14.13	$17.60	$28.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $6.40 / $16.30	Professional		$6.40	$6.40	$16.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $16.00 / $21.60	Facility		$11.93	$16.00	$21.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $20.80 / $21.60	Professional		$13.60	$20.80	$21.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $16.47 / $54.60	Facility		$10.40	$16.47	$54.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $10.40 / $22.72	Professional		$7.26	$10.40	$22.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.89 / $16.47 / $62.06	Facility		$7.89	$16.47	$62.06
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.26 / $8.32 / $16.09	Professional		$7.26	$8.32	$16.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $13.20 / $19.20	Professional		$12.00	$13.20	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.72 / $9.60 / $19.20	Professional		$6.72	$9.60	$19.20