Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $33.88 / $43.65	Facility		$23.99	$33.88	$43.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $37.15	Professional		$19.05	$23.99	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $48.98 / $100.00	Facility		$46.77	$48.98	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $26.92 / $58.88	Professional		$22.39	$26.92	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $37.15 / $58.88	Facility		$24.55	$37.15	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $66.07	Professional		$31.62	$44.67	$66.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Professional		$21.88	$21.88	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $67.61	Facility		$29.51	$29.51	$67.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $29.51	Professional		$21.88	$21.88	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $39.81	Professional		$19.95	$28.18	$39.81
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $95.50	Professional		$46.77	$52.48	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $24.55 / $51.29	Facility		$18.62	$24.55	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $33.88	Professional		$15.14	$22.39	$33.88