Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.32 / $40.32 / $127.00	Facility		$40.32	$40.32	$127.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $40.32 / $46.20	Professional		$35.29	$40.32	$46.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $82.58 / $213.95	Facility		$70.48	$82.58	$213.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.61 / $40.72 / $97.59	Professional		$36.61	$40.72	$97.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.30 / $75.06 / $101.34	Facility		$56.30	$75.06	$101.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $67.93 / $160.74	Professional		$49.06	$67.93	$160.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $88.45	Facility		$41.91	$41.91	$88.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $53.54	Professional		$30.59	$30.59	$53.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $41.91 / $41.91	Professional		$30.59	$41.91	$41.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.84 / $41.03 / $53.79	Professional		$29.84	$41.03	$53.79
United Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $35.89 / $51.21	Professional		$24.97	$35.89	$51.21