Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $104.10 / $149.28	Facility		$47.97	$104.10	$149.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $48.00 / $61.44	Professional		$47.97	$48.00	$61.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $82.27 / $136.71	Facility		$51.81	$82.27	$136.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $54.78 / $80.87	Professional		$47.97	$54.78	$80.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.97 / $47.97 / $71.95	Facility		$47.97	$47.97	$71.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $64.76	Professional		$47.97	$47.97	$64.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.26 / $45.26 / $47.97	Facility		$45.26	$45.26	$47.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $61.10	Professional		$47.97	$47.97	$61.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.58 / $48.58 / $48.58	Facility		$48.58	$48.58	$48.58
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $47.97 / $67.89	Professional		$47.97	$47.97	$67.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $55.16 / $67.15	Professional		$48.00	$55.16	$67.15
United Facility/Professional Facility Modifier Low / Median / High Price $58.84 / $58.84 / $58.84	Facility		$58.84	$58.84	$58.84
United Facility/Professional Professional Modifier Low / Median / High Price $47.88 / $47.97 / $55.00	Professional		$47.88	$47.97	$55.00