Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.97 / $595.91 / $11,627.00	Facility		$104.97	$595.91	$11,627.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $183.53 / $255.68	Professional		$92.80	$183.53	$255.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.72 / $147.46 / $311.45	Professional		$83.72	$147.46	$311.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.91 / $116.66 / $138.62	Facility		$91.91	$116.66	$138.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.51 / $231.34 / $262.89	Professional		$170.51	$231.34	$262.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $160.74 / $263.49	Facility		$128.00	$160.74	$263.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $210.31 / $378.56	Professional		$102.66	$210.31	$378.56
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $160.74 / $263.49	Facility		$128.00	$160.74	$263.49
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $102.66 / $210.31 / $362.77	Professional		$102.66	$210.31	$362.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $255.58 / $357.59	Professional		$193.10	$255.58	$357.59
United Facility/Professional Professional Modifier Low / Median / High Price $167.54 / $255.76 / $449.44	Professional		$167.54	$255.76	$449.44