Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $43.65 / $54.95	Facility		$33.11	$43.65	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $45.71	Professional		$21.88	$33.11	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.20 / $67.61	Professional		$26.30	$30.20	$67.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $38.90 / $63.10	Facility		$26.30	$38.90	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $46.77 / $70.79	Professional		$33.88	$46.77	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $34.67	Facility		$30.20	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $29.51	Professional		$21.38	$29.51	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $34.67 / $70.79	Facility		$30.20	$34.67	$70.79
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $29.51	Professional		$21.38	$29.51	$29.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $56.23	Professional		$27.54	$38.90	$56.23
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $109.65	Professional		$53.70	$60.26	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $33.11	Facility		$18.62	$21.88	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $33.11	Professional		$16.98	$23.99	$33.11