Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.85 / $349.62 / $538.41	Facility		$139.85	$349.62	$538.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.25 / $139.85 / $252.36	Professional		$122.25	$139.85	$252.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.36 / $188.79 / $309.36	Facility		$154.36	$188.79	$309.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.53 / $83.90 / $227.25	Professional		$59.53	$83.90	$227.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $174.81 / $201.03 / $262.22	Facility		$174.81	$201.03	$262.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $227.25 / $381.91	Professional		$174.81	$227.25	$381.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $179.88 / $232.83 / $997.67	Facility		$179.88	$232.83	$997.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $98.67 / $380.41	Professional		$79.91	$98.67	$380.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $179.88 / $232.83 / $997.67	Facility		$179.88	$232.83	$997.67
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $94.09 / $380.41	Professional		$79.91	$94.09	$380.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.66 / $157.33 / $216.33	Professional		$137.66	$157.33	$216.33
United Facility/Professional Professional Modifier Low / Median / High Price $73.42 / $104.89 / $229.00	Professional		$73.42	$104.89	$229.00