Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.48 / $59.29 / $120.00	Facility		$7.48	$59.29	$120.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.68 / $38.69 / $65.11	Professional		$26.68	$38.69	$65.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.64 / $79.23 / $205.29	Facility		$67.64	$79.23	$205.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $36.08 / $93.63	Professional		$31.86	$36.08	$93.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $72.03 / $97.24	Facility		$46.82	$72.03	$97.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $64.83 / $154.22	Professional		$46.82	$64.83	$154.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $70.44	Facility		$36.61	$36.61	$70.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $26.73 / $46.77	Professional		$26.73	$26.73	$46.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $36.61 / $36.61	Facility		$36.61	$36.61	$36.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $36.61 / $36.61	Professional		$26.73	$36.61	$36.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.23 / $42.94 / $56.29	Professional		$31.23	$42.94	$56.29
United Facility/Professional Professional Modifier Low / Median / High Price $20.92 / $33.15 / $45.72	Professional		$20.92	$33.15	$45.72