Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $65.80 / $107.80	Facility		$28.00	$65.80	$107.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.20 / $28.00 / $52.50	Professional		$25.20	$28.00	$52.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $37.79 / $61.94	Facility		$30.91	$37.79	$61.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $18.20 / $56.02	Professional		$14.00	$18.20	$56.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $45.50 / $57.75	Facility		$35.00	$45.50	$57.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $47.25 / $84.00	Professional		$45.50	$47.25	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $39.81 / $199.75	Facility		$36.01	$39.81	$199.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $19.57 / $76.08	Professional		$16.02	$19.57	$76.08
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.01 / $44.14 / $199.75	Facility		$36.01	$44.14	$199.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $16.02 / $19.57 / $76.08	Professional		$16.02	$19.57	$76.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $31.50 / $43.31	Professional		$27.56	$31.50	$43.31
United Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $21.00 / $46.22	Professional		$14.70	$21.00	$46.22