Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $186.90 / $2,281.82	Facility		$55.46	$186.90	$2,281.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $57.53 / $92.35	Professional		$55.46	$57.53	$92.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.18 / $89.41 / $164.51	Facility		$55.18	$89.41	$164.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $66.73 / $115.29	Professional		$57.78	$66.73	$115.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,333.50 / $4,333.50 / $7,366.95	Facility		$4,333.50	$4,333.50	$7,366.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,210.00 / $4,333.50 / $4,333.50	Professional		$3,210.00	$4,333.50	$4,333.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $69.33	Professional		$58.93	$58.93	$69.33
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $58.83 / $59.42 / $222.22	Facility		$58.83	$59.42	$222.22
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $69.33	Professional		$58.93	$58.93	$69.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,531.00 / $5,745.90 / $7,571.42	Professional		$3,531.00	$5,745.90	$7,571.42
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $75.69	Professional		$57.78	$57.78	$75.69