Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $31.54 / $65.00	Facility		$24.86	$31.54	$65.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.85 / $27.34 / $61.42	Professional		$24.85	$27.34	$61.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.79 / $48.54 / $74.48	Facility		$27.79	$48.54	$74.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $26.66 / $47.93	Professional		$25.01	$26.66	$47.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.52 / $37.52 / $29,293.71	Facility		$37.52	$37.52	$29,293.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.86 / $27.79 / $37.52	Professional		$24.86	$27.79	$37.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.44 / $27.44 / $27.44	Facility		$27.44	$27.44	$27.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $43.17	Professional		$27.44	$27.44	$43.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $27.44 / $43.17	Professional		$27.44	$27.44	$43.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $34.73 / $40.29	Professional		$30.56	$34.73	$40.29
United Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $29.25 / $36.40	Professional		$26.40	$29.25	$36.40