Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.22 / $15.22 / $49.00	Facility		$15.22	$15.22	$49.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $15.22 / $17.45	Professional		$13.33	$15.22	$17.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.61 / $31.17 / $80.77	Facility		$26.61	$31.17	$80.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $15.37 / $36.84	Professional		$13.83	$15.37	$36.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.26 / $28.34 / $38.26	Facility		$21.26	$28.34	$38.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $25.68 / $60.68	Professional		$18.54	$25.68	$60.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $33.43	Facility		$15.80	$15.80	$33.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $11.53 / $20.18	Professional		$11.53	$11.53	$20.18
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $15.80	Professional		$11.53	$15.80	$15.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $16.54 / $21.68	Professional		$12.03	$16.54	$21.68
United Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $13.55 / $19.30	Professional		$9.43	$13.55	$19.30