Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.41 / $168.41 / $288.00	Facility		$168.41	$168.41	$288.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.85 / $168.41 / $196.97	Professional		$126.85	$168.41	$196.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.86 / $379.39 / $982.97	Facility		$323.86	$379.39	$982.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.36 / $168.25 / $448.37	Professional		$155.36	$168.25	$448.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.88 / $344.90 / $465.62	Facility		$219.88	$344.90	$465.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.19 / $310.41 / $738.50	Professional		$224.19	$310.41	$738.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $323.54	Facility		$161.63	$161.63	$323.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $117.99 / $206.48	Professional		$117.99	$117.99	$206.48
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $161.63 / $161.63 / $161.63	Facility		$161.63	$161.63	$161.63
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $117.99 / $161.63 / $161.63	Professional		$117.99	$161.63	$161.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $146.31 / $201.17 / $263.74	Professional		$146.31	$201.17	$263.74
United Facility/Professional Facility Modifier Low / Median / High Price $116.64 / $194.40 / $275.92	Facility		$116.64	$194.40	$275.92
United Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $170.54 / $218.93	Professional		$107.54	$170.54	$218.93