Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.26 / $85.60 / $288.47	Facility		$7.26	$85.60	$288.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $85.60 / $98.06	Professional		$74.91	$85.60	$98.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.65 / $175.31 / $454.20	Facility		$149.65	$175.31	$454.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $86.70 / $209.41	Professional		$77.75	$86.70	$209.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $159.37 / $215.15	Facility		$119.53	$159.37	$215.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $144.21 / $341.24	Professional		$104.15	$144.21	$341.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $187.76	Facility		$88.96	$88.96	$187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $64.94 / $88.96	Professional		$64.94	$64.94	$88.96
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $88.96 / $88.96 / $88.96	Facility		$88.96	$88.96	$88.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $64.94 / $88.96 / $88.96	Professional		$64.94	$88.96	$88.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $13.40 / $17.57	Professional		$9.75	$13.40	$17.57
United Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $74.84 / $107.01	Professional		$52.49	$74.84	$107.01