Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.64 / $184.64 / $476.00	Facility		$184.64	$184.64	$476.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.37 / $184.64 / $196.31	Professional		$146.37	$184.64	$196.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $322.79 / $378.14 / $979.72	Facility		$322.79	$378.14	$979.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.70 / $185.10 / $446.88	Professional		$167.70	$185.10	$446.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.56 / $343.76 / $464.08	Facility		$255.56	$343.76	$464.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.44 / $309.38 / $736.06	Professional		$223.44	$309.38	$736.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $399.31	Facility		$189.91	$189.91	$399.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $138.63 / $242.61	Professional		$138.63	$138.63	$242.61
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $189.91	Facility		$189.91	$189.91	$189.91
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $138.63 / $189.91 / $189.91	Professional		$138.63	$189.91	$189.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.82 / $200.50 / $262.86	Professional		$145.82	$200.50	$262.86
United Facility/Professional Professional Modifier Low / Median / High Price $114.33 / $169.96 / $228.40	Professional		$114.33	$169.96	$228.40