Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.08 / $60.08 / $187.00	Facility		$60.08	$60.08	$187.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $60.08 / $68.81	Professional		$52.57	$60.08	$68.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.03 / $123.04 / $318.77	Facility		$105.03	$123.04	$318.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.56 / $59.20 / $145.40	Professional		$54.56	$59.20	$145.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.89 / $111.85 / $151.00	Facility		$83.89	$111.85	$151.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $101.24 / $239.49	Professional		$73.12	$101.24	$239.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $131.82	Facility		$66.72	$66.72	$131.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $85.23	Professional		$48.71	$48.71	$85.23
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $66.72	Professional		$48.71	$66.72	$66.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.73 / $40.88 / $53.60	Professional		$29.73	$40.88	$53.60
United Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $53.32 / $76.83	Professional		$37.20	$53.32	$76.83