Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $42.66 / $85.11	Facility		$18.62	$42.66	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $46.77	Professional		$14.13	$18.20	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.75 / $25.12	Professional		$9.77	$11.75	$25.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $14.45 / $22.39	Facility		$14.45	$14.45	$22.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $74.13	Facility		$12.59	$12.59	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $28.18	Professional		$10.00	$12.59	$28.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $19.95 / $74.13	Facility		$12.59	$19.95	$74.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $33.11	Professional		$10.00	$12.59	$33.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $20.42 / $45.71	Professional		$12.59	$20.42	$45.71
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $13.49 / $17.78	Facility		$7.08	$13.49	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $11.75 / $23.44	Professional		$8.32	$11.75	$23.44