Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.10 / $281.33 / $955.30	Facility		$142.10	$281.33	$955.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.10 / $142.10 / $436.51	Professional		$142.10	$142.10	$436.51
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 $108.74 / $145.80 / $236.78	Professional		$108.74	$145.80	$236.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.65 / $123.70 / $202.90	Facility		$15.65	$123.70	$202.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.87 / $133.40 / $183.61	Professional		$16.87	$133.40	$183.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.68 / $1,218.89 / $1,325.32	Facility		$507.68	$1,218.89	$1,325.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.29 / $218.57 / $394.35	Professional		$142.29	$218.57	$394.35
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $507.68 / $1,218.89 / $1,325.32	Facility		$507.68	$1,218.89	$1,325.32
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $197.27 / $394.35	Professional		$143.44	$197.27	$394.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.58 / $149.92 / $208.14	Professional		$117.58	$149.92	$208.14
United Facility/Professional Facility Modifier Low / Median / High Price $297.02 / $303.72 / $322.74	Facility		$297.02	$303.72	$322.74
United Facility/Professional Professional Modifier Low / Median / High Price $108.54 / $194.19 / $334.63	Professional		$108.54	$194.19	$334.63