Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.77 / $92.77 / $265.00	Facility		$92.77	$92.77	$265.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $92.77 / $106.27	Professional		$81.18	$92.77	$106.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $189.99 / $492.25	Facility		$162.18	$189.99	$492.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $93.03 / $227.99	Professional		$84.00	$93.03	$227.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.54 / $172.72 / $233.17	Facility		$129.54	$172.72	$233.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.87 / $156.29 / $369.83	Professional		$112.87	$156.29	$369.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $203.50	Facility		$104.24	$104.24	$203.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $104.24	Professional		$76.09	$76.09	$104.24
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $104.24 / $104.24 / $104.24	Facility		$104.24	$104.24	$104.24
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $104.24 / $104.24	Professional		$76.09	$104.24	$104.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.58 / $121.80 / $159.68	Professional		$88.58	$121.80	$159.68
United Facility/Professional Professional Modifier Low / Median / High Price $57.44 / $82.57 / $115.98	Professional		$57.44	$82.57	$115.98