Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $477.72 / $3,452.43	Facility		$151.16	$477.72	$3,452.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $207.60	Professional		$151.16	$151.16	$207.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $173.84 / $293.51	Professional		$151.16	$173.84	$293.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $256.99	Facility		$151.16	$151.16	$256.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $204.08	Professional		$151.16	$151.16	$204.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.61 / $142.61 / $151.16	Facility		$142.61	$142.61	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $213.91	Professional		$151.16	$151.16	$213.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $340.68 / $503.47 / $1,500.44	Facility		$340.68	$503.47	$1,500.44
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $247.89	Professional		$151.16	$151.16	$247.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $187.91 / $221.66	Professional		$151.16	$187.91	$221.66
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $194.40	Professional		$151.16	$151.16	$194.40