Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.15 / $69.70 / $99.00	Facility		$29.15	$69.70	$99.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $29.15 / $35.97	Professional		$24.71	$29.15	$35.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $23.49 / $40.49	Professional		$14.14	$23.49	$40.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.69 / $38.25 / $42.08	Facility		$27.69	$38.25	$42.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $31.16 / $39.65	Professional		$22.08	$31.16	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.13 / $40.97 / $149.66	Professional		$20.13	$40.97	$149.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $35.79 / $35.79 / $35.79	Facility		$35.79	$35.79	$35.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.43 / $149.66	Professional		$19.95	$28.43	$149.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.48 / $33.88 / $49.47	Professional		$25.48	$33.88	$49.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $31.04 / $54.38	Professional		$21.73	$31.04	$54.38