Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $205.59 / $315.48	Facility		$161.50	$205.59	$315.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $78.63 / $238.00	Professional		$75.79	$78.63	$238.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.07	Facility		$0.02	$0.03	$0.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.95 / $83.69 / $138.08	Professional		$78.95	$83.69	$138.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.98 / $112.98 / $192.07	Facility		$112.98	$112.98	$192.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $83.69 / $112.98	Professional		$83.69	$83.69	$112.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $83.69 / $83.69	Facility		$80.53	$83.69	$83.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Professional		$80.53	$83.69	$94.74
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $80.53 / $80.53 / $83.69	Facility		$80.53	$80.53	$83.69
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $83.69 / $94.74	Professional		$80.53	$83.69	$94.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.69 / $92.05 / $121.35	Professional		$83.69	$92.05	$121.35
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $94.74 / $101.47	Professional		$37.90	$94.74	$101.47