Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $346.74 / $724.44	Facility		$173.78	$346.74	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $162.18 / $457.09	Professional		$128.82	$162.18	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $204.17 / $354.81	Facility		$177.83	$204.17	$354.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $288.40	Professional		$77.62	$95.50	$288.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $660.69	Facility		$125.89	$125.89	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $169.82 / $380.19	Professional		$87.10	$169.82	$380.19
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $199.53 / $660.69	Facility		$128.82	$199.53	$660.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $380.19	Professional		$87.10	$104.71	$380.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $173.78 / $239.88	Professional		$144.54	$173.78	$239.88
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $446.68	Professional		$162.18	$213.80	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $173.78 / $190.55	Facility		$69.18	$173.78	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $218.78	Professional		$79.43	$114.82	$218.78