Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $25.15 / $8,337.70	Facility		$11.04	$25.15	$8,337.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $11.48 / $2,164.50	Professional		$11.03	$11.48	$2,164.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $17.77 / $27.60	Facility		$11.92	$17.77	$27.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $20.97	Professional		$11.04	$11.04	$20.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $18.77	Facility		$11.04	$11.04	$18.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $14.90	Professional		$11.04	$11.04	$14.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $11.04	Facility		$10.41	$10.41	$11.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $64.16	Professional		$11.04	$11.04	$64.16
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $11.04 / $23.16	Facility		$10.41	$11.04	$23.16
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $64.16	Professional		$11.04	$11.04	$64.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $13.80 / $15.99	Professional		$12.13	$13.80	$15.99
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $14.37	Professional		$11.04	$11.04	$14.37