Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.41 / $78.52 / $127.45	Facility		$31.41	$78.52	$127.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.82 / $31.41 / $56.68	Professional		$24.82	$31.41	$56.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $42.40 / $69.48	Facility		$34.67	$42.40	$69.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $22.52 / $54.45	Professional		$17.32	$22.52	$54.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $49.08 / $58.89	Facility		$39.26	$49.08	$58.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $53.00 / $94.22	Professional		$51.04	$53.00	$94.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $44.66 / $224.07	Facility		$39.21	$44.66	$224.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $34.54 / $75.76	Professional		$18.00	$34.54	$75.76
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $44.66 / $224.07	Facility		$39.21	$44.66	$224.07
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $34.54 / $83.38	Professional		$18.00	$34.54	$83.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.92 / $35.34 / $48.59	Professional		$30.92	$35.34	$48.59
United Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $23.56 / $57.20	Professional		$16.48	$23.56	$57.20