Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $74.00	Facility		$26.92	$26.92	$74.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $31.76	Professional		$26.92	$26.92	$31.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $38.70 / $62.20	Facility		$33.01	$38.70	$62.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $15.93 / $45.33	Professional		$13.54	$15.93	$45.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $39.90 / $47.15	Facility		$31.83	$39.90	$47.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $41.38 / $76.39	Professional		$31.83	$41.38	$76.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $21.60	Professional		$21.60	$21.60	$21.60
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $21.60 / $25.97	Professional		$21.60	$21.60	$25.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.55 / $16.00 / $21.09	Professional		$14.55	$16.00	$21.09
United Facility/Professional Professional Modifier Low / Median / High Price $12.06 / $25.33 / $44.98	Professional		$12.06	$25.33	$44.98