Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.22 / $181.22 / $560.00	Facility		$181.22	$181.22	$560.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $181.22 / $239.79	Professional		$166.99	$181.22	$239.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $316.82 / $371.14 / $961.59	Facility		$316.82	$371.14	$961.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.60 / $197.65 / $445.36	Professional		$164.60	$197.65	$445.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $253.05 / $354.27 / $472.36	Facility		$253.05	$354.27	$472.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.18 / $337.40 / $722.44	Professional		$236.18	$337.40	$722.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $527.20	Facility		$218.27	$218.27	$527.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $159.34 / $278.83	Professional		$159.34	$159.34	$278.83
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $218.27 / $218.27 / $218.27	Facility		$218.27	$218.27	$218.27
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $159.34 / $218.27 / $218.27	Professional		$159.34	$218.27	$218.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $143.13 / $196.81 / $258.02	Professional		$143.13	$196.81	$258.02
United Facility/Professional Professional Modifier Low / Median / High Price $112.22 / $168.32 / $253.61	Professional		$112.22	$168.32	$253.61