Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $29.05 / $44.10	Facility		$25.55	$29.05	$44.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $10.77 / $11.02	Professional		$8.94	$10.77	$11.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $0.02	Facility		$0.02	$0.02	$0.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.77 / $13.43	Professional		$8.19	$9.77	$13.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $11.07 / $18.27	Facility		$11.07	$11.07	$18.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $11.07 / $11.07	Professional		$8.19	$11.07	$11.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $12.97 / $85.00	Facility		$8.19	$12.97	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $11.60	Professional		$8.19	$8.19	$11.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.19 / $12.97 / $85.00	Facility		$8.19	$12.97	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $8.19 / $12.97	Professional		$8.19	$8.19	$12.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $9.02 / $11.48	Professional		$8.19	$9.02	$11.48
United Facility/Professional Professional Modifier Low / Median / High Price $12.32 / $12.97 / $13.29	Professional		$12.32	$12.97	$13.29