Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.09 / $58.67 / $104.30	Facility		$27.09	$58.67	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.70 / $27.09 / $27.77	Professional		$23.70	$27.09	$27.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $36.57 / $59.92	Facility		$29.90	$36.57	$59.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.58 / $14.31 / $43.95	Professional		$10.58	$14.31	$43.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $63.88 / $976.37	Facility		$33.86	$63.88	$976.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $81.26 / $798.83	Professional		$35.50	$81.26	$798.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $71.31 / $228.29	Facility		$38.52	$71.31	$228.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $44.36 / $174.67	Professional		$27.09	$44.36	$174.67
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $38.52 / $71.31 / $228.29	Facility		$38.52	$71.31	$228.29
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.09 / $27.09 / $27.09	Professional		$27.09	$27.09	$27.09
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $44.72	Professional		$14.22	$20.32	$44.72