Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $78.42 / $110.59	Facility		$28.91	$78.42	$110.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $29.27 / $37.00	Professional		$28.91	$29.27	$37.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $66.66 / $195.00	Facility		$45.00	$66.66	$195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.60 / $11.18 / $36.60	Professional		$8.60	$11.18	$36.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.09 / $15.03 / $20.63	Facility		$14.09	$15.03	$20.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $15.03 / $15.03	Professional		$15.03	$15.03	$15.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $85.00	Facility		$30.72	$30.72	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $36.14	Professional		$30.72	$30.72	$36.14
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $30.72 / $30.72 / $30.72	Facility		$30.72	$30.72	$30.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.72 / $30.72 / $36.14	Professional		$30.72	$30.72	$36.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $30.00 / $36.14	Professional		$29.94	$30.00	$36.14