Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.28 / $54.35 / $97.33	Facility		$25.28	$54.35	$97.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.28 / $25.28 / $25.28	Professional		$25.28	$25.28	$25.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $4.41 / $23.19	Professional		$4.41	$4.41	$23.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.46 / $42.66 / $844.74	Facility		$29.46	$42.66	$844.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.14 / $69.31 / $877.23	Professional		$33.14	$69.31	$877.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $35.95 / $182.97	Facility		$15.56	$35.95	$182.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.34 / $36.34 / $45.43	Professional		$36.34	$36.34	$45.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $20.54 / $182.97	Facility		$15.56	$20.54	$182.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $18.96 / $37.92	Professional		$13.27	$18.96	$37.92