Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.80 / $127.02 / $308.99	Facility		$92.80	$127.02	$308.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $92.80 / $129.91	Professional		$84.13	$92.80	$129.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.91 / $75.56 / $136.21	Professional		$55.91	$75.56	$136.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.25 / $99.80 / $134.75	Facility		$78.25	$99.80	$134.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $99.80 / $127.02	Professional		$70.89	$99.80	$127.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $85.00 / $140.00	Facility		$58.00	$85.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.19 / $112.17 / $177.49	Professional		$86.19	$112.17	$177.49
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.00 / $85.00 / $140.00	Facility		$58.00	$85.00	$140.00
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $87.17 / $116.70 / $177.21	Professional		$87.17	$116.70	$177.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.03 / $103.96 / $144.52	Professional		$80.03	$103.96	$144.52
United Facility/Professional Facility Modifier Low / Median / High Price $72.81 / $72.81 / $105.14	Facility		$72.81	$72.81	$105.14
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $106.66 / $208.09	Professional		$70.84	$106.66	$208.09