Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $10.99 / $21.52	Facility		$6.14	$10.99	$21.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.82 / $17.19	Professional		$6.14	$6.82	$17.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $14.37 / $39.90	Facility		$9.21	$14.37	$39.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $10.35	Professional		$6.14	$6.14	$10.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.14 / $6.14 / $10.44	Facility		$6.14	$6.14	$10.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $8.28	Professional		$6.14	$6.14	$8.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.79 / $5.79 / $6.14	Facility		$5.79	$5.79	$6.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $18.50	Professional		$6.14	$6.14	$18.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $50.65 / $53.84	Facility		$20.21	$50.65	$53.84
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $18.50	Professional		$6.14	$6.14	$18.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $9.18 / $11.69	Professional		$7.67	$9.18	$11.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.14 / $6.14 / $7.99	Professional		$6.14	$6.14	$7.99