Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.68 / $94.68 / $293.00	Facility		$94.68	$94.68	$293.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $94.68 / $117.28	Professional		$84.89	$94.68	$117.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.52 / $193.90 / $502.37	Facility		$165.52	$193.90	$502.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.99 / $103.18 / $232.67	Professional		$85.99	$103.18	$232.67
Aultcare Facility/Professional Professional Modifier Low / Median / High Price $149.83 / $149.83 / $149.83	Professional		$149.83	$149.83	$149.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $132.19 / $176.27 / $237.96	Facility		$132.19	$176.27	$237.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $122.38 / $176.27 / $377.43	Professional		$122.38	$176.27	$377.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $226.96	Facility		$110.15	$110.15	$226.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $140.72	Professional		$80.41	$80.41	$140.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $110.14 / $110.15	Professional		$80.41	$110.14	$110.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $74.77 / $102.81 / $134.79	Professional		$74.77	$102.81	$134.79
United Facility/Professional Professional Modifier Low / Median / High Price $58.62 / $87.94 / $127.74	Professional		$58.62	$87.94	$127.74