Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.83 / $161.83 / $673.00	Facility		$161.83	$161.83	$673.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.19 / $161.83 / $219.96	Professional		$145.19	$161.83	$219.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $261.95 / $375.00 / $928.62	Professional		$261.95	$375.00	$928.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.93 / $305.44 / $371.53	Facility		$241.93	$305.44	$371.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $328.39 / $530.77	Professional		$281.58	$328.39	$530.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $306.08	Facility		$306.08	$306.08	$306.08
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $160.94 / $160.94 / $160.94	Professional		$160.94	$160.94	$160.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $231.00 / $302.84	Professional		$50.00	$231.00	$302.84
United Facility/Professional Professional Modifier Low / Median / High Price $96.39 / $144.59 / $192.78	Professional		$96.39	$144.59	$192.78