Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.38 / $49.38 / $222.00	Facility		$49.38	$49.38	$222.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $49.38 / $187.94	Professional		$43.22	$49.38	$187.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.32 / $101.12 / $262.00	Facility		$86.32	$101.12	$262.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $49.10 / $120.79	Professional		$38.11	$49.10	$120.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $91.93 / $124.11	Facility		$68.95	$91.93	$124.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.10 / $83.21 / $196.84	Professional		$60.10	$83.21	$196.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $120.00	Facility		$61.54	$61.54	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $106.50	Professional		$44.92	$44.92	$106.50
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $61.54	Professional		$44.92	$61.54	$61.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $73.66 / $97.10	Professional		$53.57	$73.66	$97.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.29 / $43.82 / $61.74	Professional		$30.29	$43.82	$61.74