Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $126.12 / $211.88	Facility		$36.90	$126.12	$211.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $63.06 / $89.21	Professional		$32.72	$63.06	$89.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.09 / $110.13 / $180.98	Facility		$68.09	$110.13	$180.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $125.83	Professional		$63.06	$63.06	$125.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.06 / $63.06 / $107.20	Facility		$63.06	$63.06	$107.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $85.13	Professional		$63.06	$63.06	$85.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.49 / $59.49 / $63.06	Facility		$59.49	$59.49	$63.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $440.13	Professional		$63.06	$63.06	$440.13
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.88 / $97.57 / $219.18	Facility		$80.88	$97.57	$219.18
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $63.06 / $457.74	Professional		$63.06	$63.06	$457.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $78.82 / $113.34	Professional		$40.11	$78.82	$113.34
United Facility/Professional Professional Modifier Low / Median / High Price $63.06 / $70.20 / $91.40	Professional		$63.06	$70.20	$91.40