Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $162.18 / $275.42	Facility		$109.65	$162.18	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $112.20 / $229.09	Professional		$89.13	$112.20	$229.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $288.40 / $302.00	Facility		$257.04	$288.40	$302.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $190.55 / $338.84	Professional		$97.72	$190.55	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $51.29 / $87.10	Facility		$36.31	$51.29	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $100.00 / $524.81	Facility		$38.90	$100.00	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $208.93	Professional		$81.28	$123.03	$208.93
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $234.42 / $676.08	Facility		$85.11	$234.42	$676.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $223.87	Professional		$79.43	$117.49	$223.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $100.00	Professional		$32.36	$33.11	$100.00
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $346.74	Professional		$158.49	$194.98	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $81.28 / $251.19	Facility		$44.67	$81.28	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $169.82 / $309.03	Professional		$97.72	$169.82	$309.03