Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.36 / $55.36 / $55.36	Facility		$55.36	$55.36	$55.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.34 / $14.38 / $25.95	Professional		$14.34	$14.38	$25.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $11.45 / $25.89	Professional		$8.88	$11.45	$25.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $20.68 / $27.87	Facility		$15.28	$20.68	$27.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $24.27 / $43.15	Professional		$23.37	$24.27	$43.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Facility		$37.88	$37.88	$37.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $16.55 / $35.47	Professional		$9.08	$16.55	$35.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $37.88 / $37.88 / $37.88	Facility		$37.88	$37.88	$37.88
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.08 / $15.91 / $35.47	Professional		$9.08	$15.91	$35.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.83 / $17.53	Professional		$9.44	$14.83	$17.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.79 / $17.98 / $32.74	Professional		$10.79	$17.98	$32.74