Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $119.80 / $538.00	Facility		$119.80	$119.80	$538.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $121.22 / $177.09	Professional		$119.80	$121.22	$177.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.66 / $246.79 / $639.40	Facility		$210.66	$246.79	$639.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.45 / $189.89 / $347.79	Professional		$167.45	$189.89	$347.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $224.35 / $306.11	Facility		$168.26	$224.35	$306.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $157.05 / $220.40 / $480.38	Professional		$157.05	$220.40	$480.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $302.18	Facility		$214.95	$214.95	$302.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $156.91 / $214.95	Professional		$156.91	$156.91	$214.95
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $214.95	Facility		$214.95	$214.95	$214.95
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $156.91 / $214.95 / $214.95	Professional		$156.91	$214.95	$214.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.61 / $200.22 / $262.49	Professional		$145.61	$200.22	$262.49
United Facility/Professional Professional Modifier Low / Median / High Price $114.16 / $169.72 / $225.99	Professional		$114.16	$169.72	$225.99