Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.93 / $33.93 / $86.00	Facility		$33.93	$33.93	$86.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.07 / $33.93 / $51.54	Professional		$33.07	$33.93	$51.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $76.43 / $198.02	Facility		$65.23	$76.43	$198.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $37.67 / $90.32	Professional		$33.88	$37.67	$90.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $69.48 / $97.27	Facility		$52.11	$69.48	$97.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.16 / $66.23 / $148.77	Professional		$45.16	$66.23	$148.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $80.83	Facility		$44.94	$44.94	$80.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $32.81 / $57.41	Professional		$32.81	$32.81	$57.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $44.94 / $44.94 / $44.94	Facility		$44.94	$44.94	$44.94
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $44.94 / $44.94	Professional		$32.81	$44.94	$44.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $40.52 / $53.12	Professional		$29.47	$40.52	$53.12
United Facility/Professional Facility Modifier Low / Median / High Price $37.24 / $37.24 / $37.24	Facility		$37.24	$37.24	$37.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.11 / $34.65 / $47.14	Professional		$23.11	$34.65	$47.14