Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Facility		$181.97	$181.97	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $213.80	Professional		$181.97	$181.97	$213.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $338.84	Professional		$154.88	$194.98	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $245.47	Professional		$181.97	$181.97	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $257.04	Professional		$181.97	$181.97	$257.04
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $181.97	Facility		$173.78	$173.78	$181.97
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $309.03	Professional		$181.97	$181.97	$309.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $117.49 / $234.42	Professional		$87.10	$117.49	$234.42
SummaCare Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $144.54 / $158.49	Facility		$134.90	$144.54	$158.49
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $269.15	Professional		$123.03	$144.54	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $501.19	Professional		$125.89	$181.97	$501.19