Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.93 / $105.00 / $295.75	Facility		$97.93	$105.00	$295.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.33 / $18.23 / $137.74	Professional		$13.33	$18.23	$137.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.90 / $37.29 / $77.84	Professional		$25.90	$37.29	$77.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.21 / $20.21 / $2,431.80	Facility		$20.21	$20.21	$2,431.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $20.21 / $162.12 / $3,039.75	Professional		$20.21	$162.12	$3,039.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $25.56 / $50.96	Professional		$19.00	$25.56	$50.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.57 / $25.56 / $29.00	Professional		$19.57	$25.56	$29.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
Optum Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $23.82 / $31.59	Professional		$23.82	$23.82	$31.59
United Facility/Professional Professional Modifier Low / Median / High Price $23.82 / $128.76 / $265.13	Professional		$23.82	$128.76	$265.13