Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $28.00 / $101.00	Facility		$28.00	$28.00	$101.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.49 / $28.00 / $32.04	Professional		$24.49	$28.00	$32.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.94 / $57.33 / $148.54	Facility		$48.94	$57.33	$148.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.42 / $27.25 / $67.75	Professional		$25.42	$27.25	$67.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.09 / $52.12 / $70.36	Facility		$39.09	$52.12	$70.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $47.12 / $111.60	Professional		$34.03	$47.12	$111.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $61.36	Facility		$36.33	$36.33	$61.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $26.52 / $43.34	Professional		$26.52	$26.52	$43.34
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $36.33 / $36.33	Facility		$36.33	$36.33	$36.33
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.33 / $36.33	Professional		$26.52	$36.33	$36.33
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $23.01 / $41.70	Facility		$14.79	$23.01	$41.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $24.91 / $35.78	Professional		$17.34	$24.91	$35.78