Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.70 / $54.70 / $213.00	Facility		$54.70	$54.70	$213.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $54.70 / $70.76	Professional		$49.42	$54.70	$70.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.63 / $112.02 / $290.24	Facility		$95.63	$112.02	$290.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.67 / $59.58 / $132.38	Professional		$49.67	$59.58	$132.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.38 / $101.84 / $137.47	Facility		$76.38	$101.84	$137.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.28 / $95.93 / $218.06	Professional		$69.28	$95.93	$218.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $132.27	Facility		$66.72	$66.72	$132.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $48.71 / $66.72	Professional		$48.71	$48.71	$66.72
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $66.72 / $66.72 / $66.72	Facility		$66.72	$66.72	$66.72
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $66.72 / $66.72	Professional		$48.71	$66.72	$66.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $59.37 / $77.84	Professional		$43.18	$59.37	$77.84
United Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $61.98 / $61.98	Facility		$61.98	$61.98	$61.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $50.75 / $76.38	Professional		$33.86	$50.75	$76.38