Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $84.01 / $309.26	Facility		$27.22	$84.01	$309.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.08 / $35.28 / $61.52	Professional		$25.08	$35.28	$61.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.54 / $34.70 / $55.07	Professional		$23.54	$34.70	$55.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $31.62 / $41.90	Facility		$24.17	$31.62	$41.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $47.42 / $72.50	Professional		$35.33	$47.42	$72.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $40.29 / $61.13	Professional		$25.94	$40.29	$61.13
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.84 / $40.46 / $60.70	Professional		$25.84	$40.46	$60.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.98 / $71.16 / $101.99	Professional		$52.98	$71.16	$101.99
United Facility/Professional Professional Modifier Low / Median / High Price $32.53 / $45.88 / $67.19	Professional		$32.53	$45.88	$67.19