Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $28.33 / $28.33	Facility		$28.33	$28.33	$28.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $29.93 / $50.80	Professional		$28.33	$29.93	$50.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.84 / $65.93 / $105.48	Facility		$47.84	$65.93	$105.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $37.22 / $68.54	Professional		$37.20	$37.22	$68.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $39.56 / $56.03	Facility		$4.74	$39.56	$56.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $35.60 / $65.19	Professional		$4.46	$35.60	$65.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $65.28	Facility		$36.44	$36.44	$65.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $36.44 / $61.13	Professional		$30.97	$36.44	$61.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.44 / $36.44 / $38.24	Facility		$36.44	$36.44	$38.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $36.44 / $36.44	Professional		$36.44	$36.44	$36.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.41 / $33.02 / $47.61	Professional		$26.41	$33.02	$47.61
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $27.57 / $43.23	Professional		$17.54	$27.57	$43.23