Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $32.94 / $56.46	Facility		$15.04	$32.94	$56.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.05 / $20.37 / $53.05	Professional		$14.05	$20.37	$53.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.76 / $30.82 / $85.61	Facility		$19.76	$30.82	$85.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $14.31 / $27.78	Professional		$13.43	$14.31	$27.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.04 / $20.04 / $28.06	Facility		$20.04	$20.04	$28.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $27.05	Professional		$20.04	$20.04	$27.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.75 / $14.75 / $14.75	Facility		$14.75	$14.75	$14.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $21.24	Professional		$14.75	$14.75	$21.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $5.57 / $17.55 / $44.59	Facility		$5.57	$17.55	$44.59
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $14.75 / $14.75 / $27.04	Professional		$14.75	$14.75	$27.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $42.16 / $59.03	Professional		$35.13	$42.16	$59.03
United Facility/Professional Professional Modifier Low / Median / High Price $12.63 / $15.28 / $17.41	Professional		$12.63	$15.28	$17.41