Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.90 / $208.06 / $955.30	Facility		$114.90	$208.06	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $114.90 / $321.81	Professional		$114.90	$114.90	$321.81
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 $129.56 / $145.47 / $233.08	Professional		$129.56	$145.47	$233.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.47 / $90.67 / $166.21	Facility		$23.47	$90.67	$166.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $97.78 / $142.25	Professional		$25.31	$97.78	$142.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.85 / $1,218.89 / $1,325.32	Facility		$370.85	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.91 / $179.05 / $302.20	Professional		$111.91	$179.05	$302.20
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $370.85 / $1,218.89 / $1,325.32	Facility		$370.85	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $114.67 / $174.33 / $302.20	Professional		$114.67	$174.33	$302.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $123.98 / $185.65	Professional		$41.71	$123.98	$185.65
United Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $148.46 / $262.12	Professional		$112.88	$148.46	$262.12