Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.97 / $294.69 / $482.79	Facility		$147.97	$294.69	$482.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.73 / $125.40 / $128.54	Professional		$109.73	$125.40	$128.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.03 / $6.86 / $203.46	Professional		$5.03	$6.86	$203.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.75 / $458.49 / $4,510.02	Facility		$156.75	$458.49	$4,510.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $376.20 / $3,690.02	Professional		$164.00	$376.20	$3,690.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $161.38 / $907.66	Facility		$139.88	$161.38	$907.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $882.38 / $882.38 / $882.38	Professional		$882.38	$882.38	$882.38
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $139.88 / $161.38 / $907.66	Facility		$139.88	$161.38	$907.66
United Facility/Professional Facility Modifier Low / Median / High Price $56.43 / $56.43 / $141.08	Facility		$56.43	$56.43	$141.08
United Facility/Professional Professional Modifier Low / Median / High Price $65.84 / $94.05 / $207.02	Professional		$65.84	$94.05	$207.02