Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $69.92 / $154.78	Facility		$32.22	$69.92	$154.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.87 / $33.18 / $69.92	Professional		$31.87	$33.18	$69.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.33 / $75.39 / $209.43	Facility		$48.33	$75.39	$209.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $55.79	Professional		$32.22	$32.22	$55.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $54.77	Facility		$32.22	$32.22	$54.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $43.50	Professional		$32.22	$32.22	$43.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $30.39 / $32.22	Facility		$30.39	$30.39	$32.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $89.56	Professional		$32.22	$32.22	$89.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $32.22 / $108.78	Facility		$30.39	$32.22	$108.78
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $89.56	Professional		$32.22	$32.22	$89.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.38 / $40.27 / $46.64	Professional		$35.38	$40.27	$46.64
United Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $32.22 / $41.95	Professional		$32.22	$32.22	$41.95