Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.37 / $184.21 / $272.35	Facility		$149.37	$184.21	$272.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.56 / $149.37 / $208.24	Professional		$141.56	$149.37	$208.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $144.96 / $241.05	Professional		$116.31	$144.96	$241.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $94.42 / $216.40	Facility		$54.19	$94.42	$216.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $101.83 / $160.27	Professional		$58.44	$101.83	$160.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $164.09 / $175.54 / $190.74	Facility		$164.09	$175.54	$190.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.11 / $211.26 / $375.55	Professional		$143.11	$211.26	$375.55
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $164.09 / $175.54 / $190.74	Facility		$164.09	$175.54	$190.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $206.17 / $353.25	Professional		$144.68	$206.17	$353.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $43.51 / $58.70	Professional		$32.44	$43.51	$58.70
United Facility/Professional Professional Modifier Low / Median / High Price $120.72 / $156.30 / $301.95	Professional		$120.72	$156.30	$301.95