Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.54 / $275.69 / $1,180.00	Facility		$96.54	$275.69	$1,180.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $81.81 / $147.63	Professional		$51.13	$81.81	$147.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.30 / $110.44 / $180.97	Facility		$90.30	$110.44	$180.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $51.12 / $163.66	Professional		$40.90	$51.12	$163.66
Aultcare Facility/Professional Facility Modifier Low / Median / High Price $64.42 / $64.42 / $64.42	Facility		$64.42	$64.42	$64.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $117.60 / $153.38	Facility		$102.26	$117.60	$153.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $132.94 / $223.49	Professional		$102.26	$132.94	$223.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $148.58 / $1,481.94	Facility		$105.22	$148.58	$1,481.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $89.52 / $225.77	Professional		$46.73	$89.52	$225.77
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $105.22 / $148.58 / $689.43	Facility		$105.22	$148.58	$689.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $46.73 / $92.01 / $222.76	Professional		$46.73	$92.01	$222.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $92.04 / $126.55	Professional		$80.53	$92.04	$126.55
United Facility/Professional Professional Modifier Low / Median / High Price $42.95 / $61.36 / $173.84	Professional		$42.95	$61.36	$173.84