Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.57 / $185.57 / $814.32	Facility		$185.57	$185.57	$814.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.41 / $185.57 / $212.61	Professional		$162.41	$185.57	$212.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $324.42 / $380.05 / $984.68	Facility		$324.42	$380.05	$984.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.55 / $186.58 / $449.15	Professional		$168.55	$186.58	$449.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $259.13 / $345.50 / $466.43	Facility		$259.13	$345.50	$466.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $225.80 / $312.64 / $739.78	Professional		$225.80	$312.64	$739.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $407.09	Facility		$192.91	$192.91	$407.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $140.82 / $246.44	Professional		$140.82	$140.82	$246.44
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $192.91	Facility		$192.91	$192.91	$192.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $140.82 / $192.91 / $192.91	Professional		$140.82	$192.91	$192.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $275.00 / $360.52	Professional		$200.00	$275.00	$360.52
United Facility/Professional Professional Modifier Low / Median / High Price $114.91 / $166.99 / $237.34	Professional		$114.91	$166.99	$237.34