Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.75 / $67.08 / $19,662.00	Facility		$27.75	$67.08	$19,662.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.37 / $67.08	Professional		$24.00	$24.37	$67.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.92 / $38.64 / $68.40	Facility		$25.92	$38.64	$68.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $40.46	Professional		$24.00	$24.00	$40.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $24.13 / $35.99	Facility		$24.00	$24.13	$35.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.13 / $32.40	Professional		$24.00	$24.13	$32.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $24.00	Facility		$22.64	$22.64	$24.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $43.91	Professional		$24.00	$24.00	$43.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $24.00 / $64.28	Facility		$22.64	$24.00	$64.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $24.00 / $43.91	Professional		$21.14	$24.00	$43.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.54 / $30.46 / $34.98	Professional		$26.54	$30.46	$34.98
United Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $23.98 / $23.98	Facility		$23.98	$23.98	$23.98
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $33.39	Professional		$24.00	$24.00	$33.39