Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $82.22 / $125.80	Facility		$41.11	$82.22	$125.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.52 / $107.05	Professional		$41.11	$41.52	$107.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $66.19 / $117.16	Facility		$44.40	$66.19	$117.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $71.18	Professional		$41.11	$41.11	$71.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $69.89	Facility		$41.11	$41.11	$69.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $55.50	Professional		$41.11	$41.11	$55.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.78 / $38.78 / $41.11	Facility		$38.78	$38.78	$41.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $70.03	Professional		$41.11	$41.11	$70.03
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $70.03	Professional		$41.11	$41.11	$70.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $51.38 / $59.53	Professional		$45.16	$51.38	$59.53
United Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $48.54	Professional		$41.11	$41.11	$48.54