Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $92.74 / $16,420.64	Facility		$37.63	$92.74	$16,420.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $28.12 / $246.02	Professional		$27.85	$28.12	$246.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $44.84 / $79.37	Facility		$30.07	$44.84	$79.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $52.91	Professional		$27.85	$27.85	$52.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.50 / $27.85 / $42.05	Facility		$26.50	$27.85	$42.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $27.85 / $37.60	Professional		$26.50	$27.85	$37.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $22.17 / $27.85	Facility		$22.17	$22.17	$27.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $115.04	Professional		$27.85	$27.85	$115.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $45.22 / $82.07 / $220.81	Facility		$45.22	$82.07	$220.81
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $27.85 / $115.04	Professional		$27.85	$27.85	$115.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $29.15 / $34.81 / $38.99	Professional		$29.15	$34.81	$38.99
United Facility/Professional Professional Modifier Low / Median / High Price $27.85 / $31.00 / $39.13	Professional		$27.85	$31.00	$39.13