Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $73.95 / $181.00	Facility		$73.95	$73.95	$181.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.93 / $73.95 / $78.63	Professional		$53.93	$73.95	$78.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.28 / $151.44 / $392.39	Facility		$129.28	$151.44	$392.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $67.16 / $178.98	Professional		$60.47	$67.16	$178.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.77 / $137.68 / $185.87	Facility		$87.77	$137.68	$185.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.49 / $123.91 / $294.80	Professional		$89.49	$123.91	$294.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $136.30	Facility		$64.52	$64.52	$136.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $47.10 / $82.42	Professional		$47.10	$47.10	$82.42
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $64.52 / $64.52 / $64.52	Facility		$64.52	$64.52	$64.52
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $47.10 / $64.52 / $64.52	Professional		$47.10	$64.52	$64.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $80.30 / $105.27	Professional		$58.40	$80.30	$105.27
United Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $62.08 / $85.86	Professional		$39.69	$62.08	$85.86