Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $45.71	Facility		$25.12	$25.12	$45.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.84 / $44.67	Professional		$23.99	$28.84	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $32.36 / $51.29	Facility		$21.38	$32.36	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $38.90	Professional		$28.18	$28.18	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $50.12 / $60.26	Professional		$24.55	$50.12	$60.26
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $75.86	Professional		$50.12	$60.26	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13