Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.70 / $126.21 / $183.43	Facility		$58.70	$126.21	$183.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.81 / $58.70 / $105.92	Professional		$52.81	$58.70	$105.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $79.23 / $129.84	Facility		$64.79	$79.23	$129.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.18 / $36.81 / $112.81	Professional		$30.18	$36.81	$112.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $91.71 / $110.06	Facility		$73.37	$91.71	$110.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.38 / $99.05 / $176.09	Professional		$95.38	$99.05	$176.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $83.46 / $418.72	Facility		$75.48	$83.46	$418.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $56.17 / $142.13	Professional		$33.52	$56.17	$142.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $83.46 / $418.72	Facility		$75.48	$83.46	$418.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.52 / $56.17 / $142.13	Professional		$33.52	$56.17	$142.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $66.03 / $90.79	Professional		$57.78	$66.03	$90.79
United Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $44.02 / $96.90	Professional		$30.82	$44.02	$96.90