Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.02 / $755.47 / $831.02	Facility		$158.02	$755.47	$831.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $125.82 / $755.47	Professional		$87.57	$125.82	$755.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $88.96 / $141.29	Professional		$68.00	$88.96	$141.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43,749.56 / $57,049.43 / $61,249.39	Facility		$43,749.56	$57,049.43	$61,249.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $512.00 / $512.00	Professional		$244.20	$512.00	$512.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $244.20 / $512.00 / $512.00	Professional		$244.20	$512.00	$512.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.25 / $100.25 / $100.25	Professional		$100.25	$100.25	$100.25