Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.05 / $19.05	Facility		$12.02	$19.05	$19.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $43.65 / $77.62	Professional		$10.96	$43.65	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.76 / $17.38	Professional		$5.75	$6.76	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Facility		$16.98	$16.98	$16.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $11.48	Professional		$11.48	$11.48	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $60.26	Professional		$39.81	$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 $11.75 / $15.85 / $26.92	Professional		$11.75	$15.85	$26.92