Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.12 / $26.92 / $60.51	Facility		$6.12	$26.92	$60.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.35 / $31.70	Professional		$18.17	$18.35	$31.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.26 / $42.52 / $118.11	Facility		$27.26	$42.52	$118.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $34.22	Professional		$18.17	$18.17	$34.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.67 / $18.17 / $27.23	Facility		$17.67	$18.17	$27.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $18.17 / $24.53	Professional		$17.67	$18.17	$24.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.14 / $17.14 / $18.17	Facility		$17.14	$17.14	$18.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $42.47	Professional		$18.17	$18.17	$42.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $27.85 / $113.49	Facility		$3.91	$27.85	$113.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $54.24	Professional		$18.17	$18.17	$54.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.43 / $22.68 / $25.62	Professional		$19.43	$22.68	$25.62
United Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $18.17 / $25.28	Professional		$18.17	$18.17	$25.28