Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $84.35 / $972.00	Facility		$25.33	$84.35	$972.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $58.26 / $332.13	Professional		$25.33	$58.26	$332.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.36 / $44.24 / $72.70	Facility		$27.36	$44.24	$72.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $50.54	Professional		$25.33	$25.33	$50.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.33 / $25.33 / $43.06	Facility		$25.33	$25.33	$43.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $34.20	Professional		$25.33	$25.33	$34.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $23.90 / $25.33	Facility		$23.90	$23.90	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $54.15	Professional		$25.33	$25.33	$54.15
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $23.90 / $25.33 / $25.33	Facility		$23.90	$25.33	$25.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $25.33 / $25.33 / $54.15	Professional		$25.33	$25.33	$54.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $35.46 / $167.25	Professional		$27.86	$35.46	$167.25
United Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $27.03 / $35.59	Professional		$24.98	$27.03	$35.59