Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.75 / $110.54 / $153.00	Facility		$40.75	$110.54	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $41.26 / $52.16	Professional		$40.75	$41.26	$52.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.03 / $60.80 / $101.33	Facility		$0.03	$60.80	$101.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.53 / $46.20 / $68.33	Professional		$40.53	$46.20	$68.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.01 / $30.94 / $41.77	Facility		$29.01	$30.94	$41.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $30.94 / $30.94	Professional		$30.94	$30.94	$30.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $43.30	Facility		$28.87	$28.87	$43.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $29.51	Professional		$28.87	$28.87	$29.51
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $28.87 / $28.87	Facility		$28.87	$28.87	$28.87
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $28.87 / $28.87 / $36.72	Professional		$28.87	$28.87	$36.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $40.53 / $49.04	Professional		$40.45	$40.53	$49.04