Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $18.20 / $29.51	Facility		$10.47	$18.20	$29.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $13.80	Professional		$10.00	$10.00	$13.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $19.50 / $69.18	Facility		$11.48	$19.50	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $11.75 / $19.05	Professional		$10.47	$11.75	$19.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.23 / $10.23	Facility		$10.23	$10.23	$10.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.47	Facility		$10.00	$10.00	$10.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.98	Professional		$10.47	$10.47	$16.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $10.47	Facility		$10.00	$10.00	$10.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.98	Professional		$10.47	$10.47	$16.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $12.59 / $14.79	Professional		$10.23	$12.59	$14.79
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $17.38 / $24.55	Professional		$10.47	$17.38	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $10.47 / $10.47	Facility		$10.23	$10.47	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $10.47 / $11.48	Professional		$10.23	$10.47	$11.48