Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $340.50 / $944.44	Facility		$48.00	$340.50	$944.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $48.00 / $335.68	Professional		$36.94	$48.00	$335.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.00 / $260.00 / $324.00	Professional		$168.00	$260.00	$324.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.00 / $102.91 / $272.00	Facility		$39.00	$102.91	$272.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $106.87 / $232.50	Professional		$41.98	$106.87	$232.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $190.95 / $264.66	Professional		$129.00	$190.95	$264.66
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $15.98 / $151.81 / $1,579.43	Facility		$15.98	$151.81	$1,579.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $180.00 / $252.00	Professional		$111.00	$180.00	$252.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.96 / $27.96 / $52.56	Professional		$27.96	$27.96	$52.56
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $59.00 / $86.12	Professional		$40.00	$59.00	$86.12