Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.74 / $38.74 / $148.00	Facility		$38.74	$38.74	$148.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.46 / $38.74 / $50.34	Professional		$35.46	$38.74	$50.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $79.33 / $205.54	Facility		$67.72	$79.33	$205.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $42.21 / $95.19	Professional		$35.18	$42.21	$95.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.09 / $72.12 / $100.97	Facility		$54.09	$72.12	$100.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.48 / $72.12 / $154.41	Professional		$50.48	$72.12	$154.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $99.10	Facility		$46.45	$46.45	$99.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $33.90 / $59.97	Professional		$33.90	$33.90	$59.97
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $46.45 / $46.45 / $46.45	Facility		$46.45	$46.45	$46.45
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $46.45 / $46.45	Professional		$33.90	$46.45	$46.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.60 / $42.07 / $55.16	Professional		$30.60	$42.07	$55.16
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $35.97 / $52.27	Professional		$23.99	$35.97	$52.27