Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.37 / $228.90 / $641.23	Facility		$124.37	$228.90	$641.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.56 / $124.37 / $263.66	Professional		$111.56	$124.37	$263.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $571.88 / $605.49 / $691.13	Facility		$571.88	$605.49	$691.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.62 / $194.44 / $297.30	Professional		$157.62	$194.44	$297.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.62 / $76.26 / $180.37	Facility		$47.62	$76.26	$180.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $82.24 / $133.58	Professional		$51.35	$82.24	$133.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.62 / $556.14 / $889.61	Facility		$145.62	$556.14	$889.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.44 / $194.30 / $343.89	Professional		$121.44	$194.30	$343.89
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $145.62 / $556.14 / $889.61	Facility		$145.62	$556.14	$889.61
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $189.62 / $343.89	Professional		$127.07	$189.62	$343.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.40 / $98.71 / $180.46	Professional		$62.40	$98.71	$180.46
United Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $164.52 / $295.02	Professional		$124.37	$164.52	$295.02