Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $63.48 / $153.46	Facility		$55.20	$63.48	$153.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $55.20 / $72.43	Professional		$48.51	$55.20	$72.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $57.31 / $104.07	Professional		$57.31	$57.31	$104.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $89.68	Facility		$52.75	$52.75	$89.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $52.75 / $52.75	Professional		$36.93	$52.75	$52.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $54.75	Professional		$49.22	$49.22	$54.75
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Facility		$49.22	$49.22	$49.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $49.22 / $49.22 / $49.22	Professional		$49.22	$49.22	$49.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.58 / $177.87 / $279.69	Professional		$118.58	$177.87	$279.69
United Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $16.22 / $23.03	Professional		$6.49	$16.22	$23.03