Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $118.00	Facility		$33.86	$33.86	$118.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $33.86 / $44.86	Professional		$31.20	$33.86	$44.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.19 / $69.34 / $179.66	Facility		$59.19	$69.34	$179.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.74 / $36.51 / $83.13	Professional		$30.74	$36.51	$83.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.28 / $66.19 / $88.26	Facility		$47.28	$66.19	$88.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.13 / $63.04 / $134.97	Professional		$44.13	$63.04	$134.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $93.25	Facility		$40.77	$40.77	$93.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $29.76 / $52.42	Professional		$29.76	$29.76	$52.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.77 / $40.77 / $40.77	Facility		$40.77	$40.77	$40.77
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $40.77 / $40.77	Professional		$29.76	$40.77	$40.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $36.77 / $48.20	Professional		$26.74	$36.77	$48.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.97 / $31.10 / $46.79	Professional		$20.97	$31.10	$46.79