Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $16.22 / $12,022.64	Facility		$7.94	$16.22	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.72	Professional		$7.94	$7.94	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $12.88 / $28.84	Facility		$8.71	$12.88	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $13.80	Professional		$7.94	$9.12	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.72	Professional		$7.94	$7.94	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.59 / $12.02	Facility		$7.59	$7.59	$12.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $10.23	Professional		$7.94	$7.94	$10.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $7.94 / $85.11	Facility		$7.59	$7.94	$85.11
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $7.94 / $11.48	Professional		$7.94	$7.94	$11.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.91 / $11.48	Professional		$7.94	$8.91	$11.48
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.55 / $15.49	Professional		$7.94	$9.55	$15.49
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $7.94 / $8.91	Professional		$7.59	$7.94	$8.91