Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $8.40 / $18.00	Facility		$8.40	$8.40	$18.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.40 / $11.07	Professional		$6.80	$8.40	$11.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.68 / $6.81 / $17.21	Professional		$5.68	$6.81	$17.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.24 / $17.21 / $19.67	Facility		$13.24	$17.21	$19.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.56 / $17.21 / $28.35	Professional		$14.56	$17.21	$28.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $5.95	Professional		$5.70	$5.95	$5.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $16.94	Facility		$16.94	$16.94	$16.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.70 / $5.95 / $5.95	Professional		$5.70	$5.95	$5.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $10.41 / $12.07	Professional		$8.33	$10.41	$12.07
United Facility/Professional Facility Modifier Low / Median / High Price $8.88 / $8.88 / $8.88	Facility		$8.88	$8.88	$8.88
United Facility/Professional Professional Modifier Low / Median / High Price $4.40 / $6.52 / $8.40	Professional		$4.40	$6.52	$8.40