Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.65 / $125.63 / $242.33	Facility		$62.65	$125.63	$242.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.65 / $63.18 / $132.82	Professional		$62.65	$63.18	$132.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.71 / $192.39 / $219.60	Facility		$181.71	$192.39	$219.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.47 / $72.31 / $109.00	Professional		$42.47	$72.31	$109.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.04 / $52.94 / $87.36	Facility		$7.04	$52.94	$87.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.60 / $57.09 / $65.62	Professional		$7.60	$57.09	$65.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $193.66 / $230.82	Facility		$128.25	$193.66	$230.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $92.70 / $157.69	Professional		$64.70	$92.70	$157.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.25 / $193.66 / $230.82	Facility		$128.25	$193.66	$230.82
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $92.18 / $152.68	Professional		$64.70	$92.18	$152.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $74.96 / $104.07	Professional		$58.26	$74.96	$104.07
United Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $79.39 / $146.65	Professional		$53.25	$79.39	$146.65