Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $38.08 / $114.00	Facility		$38.08	$38.08	$114.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.11 / $38.08 / $58.13	Professional		$37.11	$38.08	$58.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.22 / $85.78 / $222.24	Facility		$73.22	$85.78	$222.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.07 / $46.84 / $102.93	Professional		$39.07	$46.84	$102.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $77.98 / $107.85	Facility		$58.49	$77.98	$107.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $77.98 / $166.97	Professional		$54.59	$77.98	$166.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $105.28	Facility		$48.73	$48.73	$105.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $60.43	Professional		$35.57	$35.57	$60.43
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $48.73	Professional		$35.57	$48.73	$48.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.08 / $45.48 / $59.63	Professional		$33.08	$45.48	$59.63
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $38.90 / $59.95	Professional		$25.94	$38.90	$59.95