Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.36 / $91.04 / $124.50	Facility		$39.36	$91.04	$124.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $39.36 / $52.48	Professional		$39.36	$39.36	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $25.72 / $44.52	Professional		$25.72	$25.72	$44.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48,999.51 / $59,499.41 / $61,249.39	Facility		$48,999.51	$59,499.41	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Facility		$21.86	$25.72	$25.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $26.63	Professional		$21.86	$25.72	$26.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $21.86 / $25.72	Facility		$21.86	$21.86	$25.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $25.72 / $25.72	Professional		$21.86	$25.72	$25.72
United Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $71.44 / $73.59	Professional		$28.58	$71.44	$73.59