Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $25.70	Facility		$15.14	$15.14	$25.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.14 / $25.12	Professional		$12.88	$15.14	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $33.88 / $69.18	Facility		$32.36	$33.88	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.38 / $40.74	Professional		$15.85	$21.38	$40.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $23.99 / $38.02	Facility		$15.85	$23.99	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $42.66	Professional		$20.89	$28.84	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Professional		$21.38	$21.38	$25.12
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $33.11	Professional		$16.60	$22.91	$33.11
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Facility		$38.90	$38.90	$38.90
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $36.31 / $66.07	Professional		$32.36	$36.31	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $21.38 / $32.36	Facility		$11.75	$21.38	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $21.88	Professional		$10.47	$15.49	$21.88