Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.71 / $54.71 / $54.71	Facility		$54.71	$54.71	$54.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $14.21 / $23.10	Professional		$14.21	$14.21	$23.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $11.04 / $25.10	Professional		$8.61	$11.04	$25.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $20.92 / $28.19	Facility		$15.46	$20.92	$28.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $24.56 / $43.66	Professional		$23.65	$24.56	$43.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $36.45 / $36.45	Facility		$36.45	$36.45	$36.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $15.50 / $36.09	Professional		$7.76	$15.50	$36.09
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.45 / $36.45 / $36.45	Facility		$36.45	$36.45	$36.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.25 / $14.88 / $36.09	Professional		$8.25	$14.88	$36.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.00 / $17.73	Professional		$13.64	$15.00	$17.73
United Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $16.00 / $27.20	Professional		$9.25	$16.00	$27.20