Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $23.99	Professional		$15.85	$19.05	$23.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.88 / $41.69	Professional		$16.60	$21.88	$41.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.38 / $21.88	Facility		$16.60	$21.38	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Professional		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $21.88	Facility		$19.05	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $33.88	Professional		$15.14	$22.39	$33.88
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $21.88 / $22.91	Facility		$19.05	$21.88	$22.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.39 / $34.67	Professional		$15.49	$22.39	$34.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $32.36 / $33.11	Professional		$19.05	$32.36	$33.11
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $30.90	Professional		$14.45	$20.42	$30.90
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $18.20 / $31.62	Professional		$13.49	$18.20	$31.62