Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $257.04	Professional		$107.15	$114.82	$257.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $102.33 / $223.87	Professional		$79.43	$102.33	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $154.88 / $346.74	Professional		$70.79	$154.88	$346.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $144.54 / $331.13	Professional		$70.79	$144.54	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $138.04	Professional		$57.54	$114.82	$138.04
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $173.78 / $323.59	Professional		$120.23	$173.78	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $141.25 / $239.88	Professional		$85.11	$141.25	$239.88