Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.66 / $96.59 / $278.45	Facility		$82.66	$96.59	$278.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $86.80 / $109.56	Professional		$76.19	$86.80	$109.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.50 / $865.21 / $1,393.50	Professional		$84.50	$865.21	$1,393.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $97.14 / $120.23	Facility		$79.06	$97.14	$120.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $115.64 / $115.64	Professional		$115.64	$115.64	$115.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Facility		$139.51	$139.51	$139.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $104.42 / $160.22	Professional		$80.88	$104.42	$160.22
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $139.51 / $139.51 / $139.51	Facility		$139.51	$139.51	$139.51
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.88 / $107.08 / $157.85	Professional		$80.88	$107.08	$157.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.57 / $114.62 / $119.20	Professional		$103.57	$114.62	$119.20
United Facility/Professional Professional Modifier Low / Median / High Price $75.93 / $98.97 / $174.81	Professional		$75.93	$98.97	$174.81