Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $10.56 / $20.79	Facility		$6.17	$10.56	$20.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $6.17 / $8.80	Professional		$6.13	$6.17	$8.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $18.68 / $28.36	Professional		$17.19	$18.68	$28.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.91 / $52,499.48 / $61,249.39	Facility		$12.91	$52,499.48	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $16.67 / $23.09	Professional		$16.67	$16.67	$23.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.96 / $28.37 / $28.37	Facility		$15.96	$28.37	$28.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $20.71 / $28.37	Professional		$20.71	$20.71	$28.37
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.37 / $28.37 / $28.37	Facility		$28.37	$28.37	$28.37
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $28.37 / $28.37	Professional		$20.71	$28.37	$28.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $8.00 / $10.33	Facility		$5.50	$8.00	$10.33
United Facility/Professional Professional Modifier Low / Median / High Price $4.88 / $7.34 / $12.22	Professional		$4.88	$7.34	$12.22