Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.72 / $153.72 / $153.72	Facility		$153.72	$153.72	$153.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.34 / $87.06 / $112.50	Professional		$77.34	$87.06	$112.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $107.89 / $172.93	Professional		$80.50	$107.89	$172.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.98 / $99.58 / $123.25	Facility		$82.98	$99.58	$123.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $103.73 / $116.17	Professional		$91.28	$103.73	$116.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $116.17 / $175.46	Professional		$82.63	$116.17	$175.46
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.28 / $100.28 / $100.28	Facility		$100.28	$100.28	$100.28
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $116.17 / $171.03	Professional		$85.49	$116.17	$171.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $104.04 / $148.80	Professional		$80.47	$104.04	$148.80
United Facility/Professional Professional Modifier Low / Median / High Price $73.45 / $98.83 / $177.61	Professional		$73.45	$98.83	$177.61