Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.90 / $37.27 / $93.75	Facility		$35.90	$37.27	$93.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $35.92 / $53.88	Professional		$35.92	$35.92	$53.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $17.38 / $46.69	Professional		$14.37	$17.38	$46.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.92 / $52.08 / $66.69	Facility		$35.92	$52.08	$66.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.43 / $48.49 / $86.21	Professional		$45.43	$48.49	$86.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $45.30 / $242.19	Facility		$40.86	$45.30	$242.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $45.30 / $242.19	Facility		$40.86	$45.30	$242.19
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $35.90 / $35.90	Professional		$35.90	$35.90	$35.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.28 / $32.32 / $39.06	Professional		$28.28	$32.32	$39.06
United Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $21.55 / $47.44	Professional		$15.09	$21.55	$47.44