Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $27.52 / $4,844.60	Facility		$12.07	$27.52	$4,844.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.18 / $33.36	Professional		$12.07	$12.18	$33.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.04 / $19.43 / $30.18	Facility		$13.04	$19.43	$30.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $20.80	Professional		$12.07	$12.07	$20.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $12.07 / $17.98	Facility		$12.00	$12.07	$17.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.07 / $16.29	Professional		$12.00	$12.07	$16.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $11.39 / $12.07	Facility		$11.39	$11.39	$12.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $18.60	Professional		$12.07	$12.07	$18.60
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $10.66 / $20.34 / $44.63	Facility		$10.66	$20.34	$44.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $20.90	Professional		$12.07	$12.07	$20.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $15.08 / $17.39	Professional		$13.20	$15.08	$17.39
United Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $12.07 / $15.72	Professional		$12.07	$12.07	$15.72