Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $200.00	Facility		$26.94	$26.94	$200.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.29	Professional		$26.94	$26.94	$28.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $30.71 / $52.30	Professional		$26.94	$30.71	$52.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $45.80	Facility		$26.94	$26.94	$45.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $36.36	Professional		$26.94	$26.94	$36.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $26.94	Facility		$25.42	$25.42	$26.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $38.13	Professional		$26.94	$26.94	$38.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $43.01	Professional		$26.94	$26.94	$43.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $30.22 / $37.83	Professional		$25.57	$30.22	$37.83
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $34.43	Professional		$26.94	$26.94	$34.43