Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.12 / $65.12 / $146.00	Facility		$65.12	$65.12	$146.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.04 / $65.12 / $71.45	Professional		$55.04	$65.12	$71.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.84 / $133.36 / $345.53	Facility		$113.84	$133.36	$345.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $62.90 / $157.61	Professional		$59.15	$62.90	$157.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $121.24 / $166.61	Facility		$87.77	$121.24	$166.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $113.30 / $259.60	Professional		$78.81	$113.30	$259.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $132.66	Facility		$75.47	$75.47	$132.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $55.09 / $96.41	Professional		$55.09	$55.09	$96.41
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $75.47 / $75.47 / $75.47	Facility		$75.47	$75.47	$75.47
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $55.09 / $75.47 / $75.47	Professional		$55.09	$75.47	$75.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.44 / $70.73 / $92.72	Professional		$51.44	$70.73	$92.72
United Facility/Professional Professional Modifier Low / Median / High Price $39.70 / $56.38 / $77.62	Professional		$39.70	$56.38	$77.62