Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.28 / $219.00 / $426.56	Facility		$153.28	$219.00	$426.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.75 / $87.59 / $228.87	Professional		$54.75	$87.59	$228.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $120.44 / $193.76	Facility		$96.68	$120.44	$193.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.80 / $43.80 / $109.49	Professional		$43.80	$43.80	$109.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.88 / $109.49 / $147.81	Facility		$85.88	$109.49	$147.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $142.34 / $147.81	Professional		$93.07	$142.34	$147.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $112.73 / $458.21	Facility		$71.17	$112.73	$458.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $71.17 / $156.94	Professional		$50.03	$71.17	$156.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $71.17 / $112.73 / $458.21	Facility		$71.17	$112.73	$458.21
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $55.67 / $107.84	Professional		$50.03	$55.67	$107.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.22 / $90.33 / $131.39	Professional		$60.22	$90.33	$131.39
United Facility/Professional Professional Modifier Low / Median / High Price $45.99 / $65.69 / $143.43	Professional		$45.99	$65.69	$143.43