Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.00 / $737.66 / $1,096.58	Facility		$48.00	$737.66	$1,096.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $48.00 / $950.40	Professional		$38.00	$48.00	$950.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $715.00 / $891.00	Professional		$462.00	$715.00	$891.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.84 / $303.00 / $757.50	Facility		$117.84	$303.00	$757.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $134.91 / $313.79 / $660.00	Professional		$134.91	$313.79	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.00 / $636.50 / $882.20	Professional		$430.00	$636.50	$882.20
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $420.00 / $620.00 / $856.80	Professional		$420.00	$620.00	$856.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $93.22 / $175.23	Professional		$52.56	$93.22	$175.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $81.81	Professional		$40.00	$58.00	$81.81