Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $73.59 / $108.78	Facility		$35.54	$73.59	$108.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.90 / $81.77	Professional		$35.54	$35.90	$81.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.39 / $62.09 / $102.03	Facility		$38.39	$62.09	$102.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $59.93	Professional		$35.54	$35.54	$59.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $35.54 / $60.44	Facility		$35.54	$35.54	$60.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $47.99	Professional		$35.54	$35.54	$47.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.54 / $35.54	Facility		$33.54	$33.54	$35.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $51.53	Professional		$35.54	$35.54	$51.53
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $33.99 / $35.54	Facility		$33.54	$33.99	$35.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $51.53	Professional		$35.54	$35.54	$51.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $44.88 / $51.54	Professional		$39.10	$44.88	$51.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.54 / $35.54 / $38.45	Professional		$35.54	$35.54	$38.45