Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $18.64 / $62.85	Facility		$12.56	$18.64	$62.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $18.64 / $23.30	Professional		$10.08	$18.64	$23.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.03 / $16.94 / $38.78	Professional		$13.03	$16.94	$38.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $36.72 / $44.07	Facility		$29.38	$36.72	$44.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $38.19 / $62.91	Professional		$32.32	$38.19	$62.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $24.64 / $34.43	Facility		$6.83	$24.64	$34.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $15.00	Professional		$15.00	$15.00	$15.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $31.53 / $36.58	Professional		$25.23	$31.53	$36.58
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $14.52 / $18.64	Professional		$9.77	$14.52	$18.64