Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.09 / $19.10 / $60.07	Facility		$10.09	$19.10	$60.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $14.21 / $20.94	Professional		$5.11	$14.21	$20.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $20.01 / $32.19	Facility		$16.05	$20.01	$32.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $5.25 / $13.20	Professional		$4.25	$5.25	$13.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.77 / $18.19 / $24.56	Facility		$10.77	$18.19	$24.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $23.65 / $24.56	Professional		$15.46	$23.65	$24.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $16.38 / $51.14	Facility		$7.62	$16.38	$51.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $7.97 / $19.64	Professional		$7.97	$7.97	$19.64
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $7.62 / $16.39 / $58.03	Facility		$7.62	$16.39	$58.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.97 / $9.52	Professional		$5.75	$7.97	$9.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $15.00 / $21.82	Professional		$13.64	$15.00	$21.82
United Facility/Professional Professional Modifier Low / Median / High Price $3.58 / $9.10 / $21.46	Professional		$3.58	$9.10	$21.46