Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $22.91 / $34.67	Facility		$12.59	$22.91	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $20.89	Professional		$12.02	$12.02	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $81.28	Facility		$13.49	$26.92	$81.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $22.39	Professional		$12.59	$12.59	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.22 / $16.22	Facility		$12.30	$16.22	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $16.22 / $21.88	Professional		$14.45	$16.22	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $12.59	Facility		$11.75	$11.75	$12.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $57.54	Professional		$12.59	$12.59	$57.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $12.59 / $48.98	Facility		$11.75	$12.59	$48.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $83.18	Professional		$12.59	$12.59	$83.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $16.22 / $23.44	Professional		$12.59	$16.22	$23.44
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $13.18 / $18.20	Professional		$6.61	$13.18	$18.20
United Facility/Professional Facility Modifier Low / Median / High Price $1.48 / $5.89 / $13.80	Facility		$1.48	$5.89	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.59 / $16.60	Professional		$5.01	$12.59	$16.60