Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.79 / $80.31 / $145.53	Facility		$37.79	$80.31	$145.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.50 / $37.79 / $95.00	Professional		$32.50	$37.79	$95.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.72 / $51.03 / $83.62	Facility		$41.72	$51.03	$83.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $24.57 / $107.98	Professional		$18.89	$24.57	$107.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $54.34 / $70.88	Facility		$47.25	$54.34	$70.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $61.43 / $103.25	Professional		$47.25	$61.43	$103.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $53.74 / $269.63	Facility		$48.61	$53.74	$269.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $41.32 / $102.75	Professional		$21.63	$41.32	$102.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.61 / $57.15 / $269.63	Facility		$48.61	$57.15	$269.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.63 / $42.40 / $102.75	Professional		$21.63	$42.40	$102.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $42.52 / $58.47	Professional		$37.21	$42.52	$58.47
United Facility/Professional Facility Modifier Low / Median / High Price $17.01 / $17.01 / $42.53	Facility		$17.01	$17.01	$42.53
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $28.35 / $76.20	Professional		$19.85	$28.35	$76.20