Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $28.49 / $192.00	Professional		$20.07	$28.49	$192.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $34.79 / $75.70	Professional		$25.34	$34.79	$75.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $393.83 / $906.53	Facility		$29.68	$393.83	$906.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $462.33 / $815.88	Professional		$30.82	$462.33	$815.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $28.26 / $50.77	Professional		$22.56	$28.26	$50.77