Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $83.39 / $226.00	Facility		$83.39	$83.39	$226.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.92 / $83.39 / $91.53	Professional		$69.92	$83.39	$91.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.79 / $170.79 / $442.49	Facility		$145.79	$170.79	$442.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $85.01 / $201.83	Professional		$75.73	$85.01	$201.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $108.88 / $155.26 / $209.60	Facility		$108.88	$155.26	$209.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.92 / $139.72 / $332.44	Professional		$100.92	$139.72	$332.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $186.20	Facility		$100.43	$100.43	$186.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $128.30	Professional		$73.31	$73.31	$128.30
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $100.43 / $100.43 / $100.43	Facility		$100.43	$100.43	$100.43
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $100.43 / $100.43	Professional		$73.31	$100.43	$100.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $90.56 / $118.72	Professional		$65.86	$90.56	$118.72
United Facility/Professional Professional Modifier Low / Median / High Price $51.64 / $74.22 / $111.61	Professional		$51.64	$74.22	$111.61