Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $68.64 / $68.64	Facility		$68.64	$68.64	$68.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.64 / $80.59 / $135.24	Professional		$68.64	$80.59	$135.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.45 / $126.42 / $292.37	Professional		$104.45	$126.42	$292.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $16.72 / $118.92	Facility		$10.67	$16.72	$118.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $21.57 / $142.69	Professional		$9.65	$21.57	$142.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $88.70 / $147.24	Facility		$64.00	$88.70	$147.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $75.40 / $157.50	Professional		$75.40	$75.40	$157.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $147.24	Facility		$88.70	$88.70	$147.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $75.40 / $88.70	Professional		$6.66	$75.40	$88.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.47 / $105.70 / $146.81	Professional		$70.47	$105.70	$146.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $13.26 / $121.57	Professional		$5.26	$13.26	$121.57