Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $19.55 / $29.93	Facility		$9.77	$19.55	$29.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.91 / $22.59	Professional		$9.77	$9.91	$22.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.55 / $15.75 / $27.87	Facility		$10.55	$15.75	$27.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $16.48	Professional		$9.77	$9.77	$16.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $16.63	Facility		$9.77	$9.77	$16.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $13.20	Professional		$9.77	$9.77	$13.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $9.77	Facility		$9.22	$9.22	$9.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $18.27	Professional		$9.77	$9.77	$18.27
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $9.22 / $9.22 / $9.77	Facility		$9.22	$9.22	$9.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $18.27	Professional		$9.77	$9.77	$18.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $12.38 / $14.18	Professional		$10.75	$12.38	$14.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $9.77 / $10.58	Professional		$9.77	$9.77	$10.58