Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $131.51 / $185.00	Facility		$50.82	$131.51	$185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $50.82 / $141.28	Professional		$50.82	$50.82	$141.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.18 / $89.77 / $150.88	Facility		$57.18	$89.77	$150.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $56.12 / $94.61	Professional		$56.12	$56.12	$94.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.59 / $33.59 / $57.10	Facility		$33.59	$33.59	$57.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.59 / $33.59 / $58.93	Professional		$33.59	$33.59	$58.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.00 / $54.00 / $54.00	Facility		$54.00	$54.00	$54.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $84.96	Professional		$54.00	$54.00	$84.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $54.00 / $84.96	Professional		$54.00	$54.00	$84.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.73 / $70.15 / $81.37	Professional		$61.73	$70.15	$81.37
United Facility/Professional Professional Modifier Low / Median / High Price $52.94 / $57.70 / $63.53	Professional		$52.94	$57.70	$63.53