Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.66 / $68.66 / $154.00	Facility		$68.66	$68.66	$154.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.83 / $68.66 / $92.66	Professional		$52.83	$68.66	$92.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $62.40 / $140.62	Professional		$52.00	$62.40	$140.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.13 / $108.17 / $146.03	Facility		$81.13	$108.17	$146.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.31 / $108.17 / $231.61	Professional		$70.31	$108.17	$231.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $126.76	Facility		$126.76	$126.76	$126.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $89.93	Professional		$44.13	$44.13	$89.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $126.76 / $126.76 / $126.76	Facility		$126.76	$126.76	$126.76
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $44.13 / $76.44	Professional		$44.13	$44.13	$76.44
United Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $51.35 / $70.67	Professional		$33.90	$51.35	$70.67