Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.78 / $245.58 / $376.45	Facility		$97.78	$245.58	$376.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $97.78 / $176.44	Professional		$97.78	$97.78	$176.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $132.00 / $216.29	Facility		$107.92	$132.00	$216.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.36 / $73.63 / $195.61	Professional		$60.36	$73.63	$195.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.22 / $152.78 / $183.33	Facility		$122.22	$152.78	$183.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.88 / $165.00 / $293.33	Professional		$158.88	$165.00	$293.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $139.02 / $697.48	Facility		$125.75	$139.02	$697.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $111.91 / $260.73	Professional		$62.08	$111.91	$260.73
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $125.75 / $139.02 / $697.48	Facility		$125.75	$139.02	$697.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $112.07 / $260.73	Professional		$62.08	$112.07	$260.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $96.25 / $110.00 / $151.25	Professional		$96.25	$110.00	$151.25
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $161.75	Professional		$51.33	$73.33	$161.75