Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $19.55 / $29.88	Facility		$9.01	$19.55	$29.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.10 / $22.53	Professional		$9.01	$9.10	$22.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $21.08 / $58.57	Facility		$13.52	$21.08	$58.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $17.11	Professional		$9.01	$9.01	$17.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $9.01 / $15.32	Facility		$9.01	$9.01	$15.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $12.16	Professional		$9.01	$9.01	$12.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $8.50 / $9.01	Facility		$8.50	$8.50	$9.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $20.78	Professional		$9.01	$9.01	$20.78
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $8.50 / $8.50 / $9.01	Facility		$8.50	$8.50	$9.01
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $20.78	Professional		$9.01	$9.01	$20.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $11.27 / $13.06	Professional		$9.91	$11.27	$13.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $12.53	Professional		$9.01	$9.01	$12.53