Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.33 / $47.67 / $50.06	Professional		$29.33	$47.67	$50.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $51.20 / $82.51	Professional		$38.88	$51.20	$82.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $509.54 / $1,410.15	Facility		$62.67	$509.54	$1,410.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $490.46 / $1,355.91	Professional		$65.08	$490.46	$1,355.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.90 / $58.90 / $58.90	Facility		$58.90	$58.90	$58.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.98 / $70.62 / $246.35	Professional		$60.98	$70.62	$246.35
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $70.62 / $70.62	Professional		$70.62	$70.62	$70.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $50.00 / $60.00	Professional		$35.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $50.77 / $84.23	Professional		$36.19	$50.77	$84.23