Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $76.11 / $114.26	Facility		$36.77	$76.11	$114.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $37.10 / $83.84	Professional		$36.74	$37.10	$83.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.71 / $59.20 / $104.79	Facility		$39.71	$59.20	$104.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $61.99	Professional		$36.77	$36.77	$61.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.77 / $36.77 / $62.51	Facility		$36.77	$36.77	$62.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $49.64	Professional		$36.77	$36.77	$49.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.68 / $34.68 / $36.77	Facility		$34.68	$34.68	$36.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $58.26	Professional		$36.77	$36.77	$58.26
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $58.26	Professional		$36.77	$36.77	$58.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.41 / $45.96 / $53.27	Professional		$40.41	$45.96	$53.27
United Facility/Professional Professional Modifier Low / Median / High Price $36.77 / $36.77 / $41.86	Professional		$36.77	$36.77	$41.86