Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $44.72 / $177.27	Facility		$31.53	$44.72	$177.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $37.18 / $103.88	Professional		$31.53	$37.18	$103.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $42.23 / $48.20	Facility		$39.88	$42.23	$48.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $48.58 / $86.71	Professional		$39.77	$48.58	$86.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.74 / $20.46 / $45.52	Facility		$15.74	$20.46	$45.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $18.76 / $33.70	Professional		$14.95	$18.76	$33.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $37.10 / $37.10	Facility		$34.68	$37.10	$37.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.11 / $47.38 / $100.56	Professional		$29.11	$47.38	$100.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $50.15 / $190.86	Facility		$34.68	$50.15	$190.86
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $47.38 / $104.20	Professional		$29.75	$47.38	$104.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.55 / $38.30 / $53.26	Professional		$27.55	$38.30	$53.26
United Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $37.57 / $71.02	Professional		$28.81	$37.57	$71.02