Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.08 / $76.26 / $315.00	Facility		$41.08	$76.26	$315.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $62.11 / $90.48	Professional		$38.70	$62.11	$90.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $63.93 / $109.41	Professional		$37.90	$63.93	$109.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $45.49 / $59.23	Facility		$39.28	$45.49	$59.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.27 / $79.31 / $146.63	Professional		$43.27	$79.31	$146.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $68.90 / $68.90 / $68.90	Facility		$68.90	$68.90	$68.90
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $43.05 / $77.09 / $134.49	Professional		$43.05	$77.09	$134.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $71.67 / $101.99	Professional		$53.47	$71.67	$101.99
Optum Facility/Professional Professional Modifier Low / Median / High Price $100.56 / $100.56 / $100.56	Professional		$100.56	$100.56	$100.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $100.56 / $183.52	Professional		$65.34	$100.56	$183.52