Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.20 / $55.20 / $159.00	Facility		$55.20	$55.20	$159.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $55.20 / $66.79	Professional		$50.59	$55.20	$66.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.50 / $113.05 / $292.89	Facility		$96.50	$113.05	$292.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $57.62 / $133.60	Professional		$50.14	$57.62	$133.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.08 / $102.77 / $140.21	Facility		$77.08	$102.77	$140.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $102.77 / $220.05	Professional		$71.94	$102.77	$220.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $136.91	Facility		$61.48	$61.48	$136.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $78.54	Professional		$44.88	$44.88	$78.54
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $61.48 / $61.48	Facility		$61.48	$61.48	$61.48
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $61.48 / $61.48	Professional		$44.88	$61.48	$61.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.60 / $59.95 / $78.59	Professional		$43.60	$59.95	$78.59
United Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $29.60	Facility		$29.60	$29.60	$29.60
United Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $49.17 / $73.86	Professional		$34.18	$49.17	$73.86