Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.90 / $80.90 / $1,588.87	Facility		$80.90	$80.90	$1,588.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.90 / $80.90 / $85.96	Professional		$80.90	$80.90	$85.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $107.40 / $157.40	Professional		$92.59	$107.40	$157.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.66 / $86.72 / $106.00	Facility		$70.66	$86.72	$106.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $92.59	Professional		$85.96	$85.96	$92.59
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $101.13	Professional		$85.96	$85.96	$101.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $115.73 / $134.25	Professional		$92.59	$115.73	$134.25
United Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $136.47 / $160.90	Professional		$136.47	$136.47	$160.90