Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.81 / $51.91 / $61.08	Facility		$45.81	$51.91	$61.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.81 / $58.45 / $81.12	Professional		$45.81	$58.45	$81.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.39 / $83.05 / $132.49	Professional		$68.39	$83.05	$132.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $73.98 / $74.33	Facility		$55.49	$73.98	$74.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.28 / $68.23 / $92.48	Professional		$49.28	$68.23	$92.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $96.17 / $163.55	Professional		$66.31	$96.17	$163.55
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.77 / $90.04 / $113.14	Professional		$70.77	$90.04	$113.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.88 / $93.06 / $142.33	Professional		$70.88	$93.06	$142.33
United Facility/Professional Professional Modifier Low / Median / High Price $59.82 / $80.42 / $128.44	Professional		$59.82	$80.42	$128.44