Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.29 / $68.29 / $198.00	Facility		$68.29	$68.29	$198.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.80 / $68.29 / $78.28	Professional		$59.80	$68.29	$78.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.39 / $139.87 / $362.38	Facility		$119.39	$139.87	$362.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $66.53 / $167.07	Professional		$62.00	$66.53	$167.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.36 / $127.15 / $171.65	Facility		$95.36	$127.15	$171.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $115.06 / $272.25	Professional		$83.10	$115.06	$272.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $149.81	Facility		$70.98	$70.98	$149.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $51.82 / $70.98	Professional		$51.82	$51.82	$70.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $70.98 / $70.98 / $70.98	Facility		$70.98	$70.98	$70.98
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $70.98 / $70.98	Professional		$51.82	$70.98	$70.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.68 / $93.06 / $122.00	Professional		$67.68	$93.06	$122.00
United Facility/Professional Professional Modifier Low / Median / High Price $42.29 / $61.40 / $89.89	Professional		$42.29	$61.40	$89.89