Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.31 / $149.31 / $149.31	Facility		$149.31	$149.31	$149.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.91 / $85.72 / $120.29	Professional		$69.91	$85.72	$120.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $267.00 / $1,025.00	Facility		$212.00	$267.00	$1,025.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $104.55 / $168.60	Professional		$85.00	$104.55	$168.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $48,999.51 / $61,249.39	Facility		$125.00	$48,999.51	$61,249.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $101.77 / $400.00	Facility		$101.77	$101.77	$400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $105.88 / $166.69	Professional		$74.59	$105.88	$166.69
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $101.77 / $101.77 / $400.00	Facility		$101.77	$101.77	$400.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $74.98 / $108.19 / $166.69	Professional		$74.98	$108.19	$166.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $85.64 / $148.41	Professional		$64.13	$85.64	$148.41