Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.96 / $300.70 / $492.65	Facility		$127.96	$300.70	$492.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $127.96 / $127.96	Professional		$108.77	$127.96	$127.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $9.64 / $117.40	Professional		$9.64	$9.64	$117.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.96 / $207.94 / $4,257.93	Facility		$135.96	$207.94	$4,257.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $349.37 / $4,421.68	Professional		$167.04	$349.37	$4,421.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $181.95 / $926.19	Facility		$78.76	$181.95	$926.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.79 / $183.79 / $229.73	Professional		$183.79	$183.79	$229.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $103.97 / $926.19	Facility		$78.76	$103.97	$926.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $159.94 / $159.94	Facility		$79.98	$159.94	$159.94
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $95.97 / $209.53	Professional		$67.18	$95.97	$209.53