Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.91 / $109.91 / $479.00	Facility		$109.91	$109.91	$479.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $109.91 / $153.56	Professional		$109.18	$109.91	$153.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $195.00 / $317.95	Professional		$183.74	$195.00	$317.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.03 / $50,749.49 / $61,249.39	Facility		$233.03	$50,749.49	$61,249.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $203.38 / $281.60 / $504.23	Professional		$203.38	$281.60	$504.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $245.68	Facility		$210.68	$210.68	$245.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $210.68	Professional		$153.80	$153.80	$210.68
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $210.68 / $210.68 / $210.68	Facility		$210.68	$210.68	$210.68
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $210.68 / $210.68	Professional		$153.80	$210.68	$210.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $50.00 / $60.00	Professional		$40.00	$50.00	$60.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.04 / $130.72 / $217.61	Professional		$87.04	$130.72	$217.61