Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.60 / $284.16 / $480.00	Facility		$153.60	$284.16	$480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $153.60 / $277.17	Professional		$58.57	$153.60	$277.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $41.83 / $249.60	Professional		$33.47	$41.83	$249.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $178.54 / $220.80 / $288.00	Facility		$178.54	$220.80	$288.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.60 / $259.20 / $460.80	Professional		$249.60	$259.20	$460.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $218.40 / $1,095.74	Facility		$171.35	$218.40	$1,095.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $87.84 / $372.10	Professional		$38.38	$87.84	$372.10
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $171.35 / $197.68 / $1,095.74	Facility		$171.35	$197.68	$1,095.74
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $38.38 / $87.84 / $372.10	Professional		$38.38	$87.84	$372.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $172.80 / $237.60	Professional		$151.19	$172.80	$237.60
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $115.20 / $279.74	Professional		$35.14	$115.20	$279.74