Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $34.28 / $86.62	Facility		$28.97	$34.28	$86.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.96 / $29.16 / $54.64	Professional		$28.96	$29.16	$54.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $56.53 / $86.70	Facility		$32.36	$56.53	$86.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $29.14 / $50.45	Professional		$24.76	$29.14	$50.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.70 / $43.70 / $29,293.71	Facility		$43.70	$43.70	$29,293.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $32.36 / $43.70	Professional		$28.97	$32.36	$43.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.94 / $31.94 / $31.94	Facility		$31.94	$31.94	$31.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $50.25	Professional		$31.94	$31.94	$50.25
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $31.94 / $31.94 / $50.25	Professional		$31.94	$31.94	$50.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $40.46 / $46.93	Professional		$35.60	$40.46	$46.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $34.08 / $41.89	Professional		$30.76	$34.08	$41.89