Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $181.97 / $56,234.13	Facility		$81.28	$181.97	$56,234.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $154.88 / $537.03	Facility		$89.13	$154.88	$537.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $93.33 / $141.25	Professional		$81.28	$93.33	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $109.65	Professional		$81.28	$81.28	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $114.82	Facility		$77.62	$77.62	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $81.28 / $109.65	Facility		$77.62	$81.28	$109.65
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $91.20 / $114.82	Professional		$81.28	$91.20	$114.82
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $158.49	Professional		$81.28	$97.72	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $91.20	Professional		$75.86	$81.28	$91.20