Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $41.69	Facility		$15.14	$25.70	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $20.89	Professional		$15.14	$15.14	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $23.99 / $53.70	Facility		$16.22	$23.99	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $27.54	Professional		$15.14	$16.98	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Facility		$14.79	$14.79	$14.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Facility		$14.13	$14.13	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.14 / $29.51	Professional		$15.14	$15.14	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $15.14	Facility		$14.13	$14.13	$15.14
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $15.14 / $29.51	Professional		$9.55	$15.14	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $18.62 / $21.38	Professional		$14.79	$18.62	$21.38
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $25.70 / $35.48	Professional		$15.49	$25.70	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $15.14 / $15.14	Facility		$14.79	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $18.20	Professional		$14.45	$15.14	$18.20