Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $118.20 / $955.30	Facility		$65.17	$118.20	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $65.17 / $183.54	Professional		$65.17	$65.17	$183.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.98 / $902.06 / $1,029.64	Facility		$851.98	$902.06	$1,029.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.89 / $82.96 / $129.40	Professional		$71.89	$82.96	$129.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $56.06 / $94.94	Facility		$9.13	$56.06	$94.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $60.47 / $79.61	Professional		$9.85	$60.47	$79.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $222.45 / $1,218.89 / $1,325.32	Facility		$222.45	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $103.01 / $170.47	Professional		$63.92	$103.01	$170.47
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $222.45 / $1,218.89 / $1,325.32	Facility		$222.45	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $100.76 / $170.47	Professional		$64.84	$100.76	$170.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $74.96 / $104.07	Professional		$58.79	$74.96	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $83.67 / $224.04	Professional		$63.47	$83.67	$224.04