Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.28 / $99.91 / $182.60	Facility		$38.28	$99.91	$182.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $38.28 / $47.36	Professional		$27.52	$38.28	$47.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $82.58 / $143.97	Professional		$62.96	$82.58	$143.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.97 / $569.62 / $1,256.52	Facility		$37.97	$569.62	$1,256.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $640.82 / $1,130.86	Professional		$42.72	$640.82	$1,130.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $91.37 / $190.20	Professional		$64.15	$91.37	$190.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.48 / $45.48 / $45.48	Facility		$45.48	$45.48	$45.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.15 / $91.37 / $190.20	Professional		$64.15	$91.37	$190.20
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 $29.24 / $40.36 / $75.70	Professional		$29.24	$40.36	$75.70