Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $35.70	Facility		$35.70	$35.70	$35.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $35.70 / $46.82	Professional		$34.95	$35.70	$46.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.63 / $83.56 / $133.69	Facility		$60.63	$83.56	$133.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $48.20 / $86.90	Professional		$47.96	$48.20	$86.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.02 / $48.09 / $68.73	Facility		$6.02	$48.09	$68.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.69 / $44.32 / $84.26	Professional		$5.69	$44.32	$84.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $77.98	Facility		$44.42	$44.42	$77.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $44.42 / $77.63	Professional		$37.76	$44.42	$77.63
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.42 / $44.42 / $46.89	Facility		$44.42	$44.42	$46.89
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.42 / $44.42 / $44.42	Professional		$44.42	$44.42	$44.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $56.57 / $81.57	Professional		$45.25	$56.57	$81.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $32.96 / $48.13	Professional		$22.01	$32.96	$48.13