Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $2,511.89	Facility		$288.40	$512.86	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $630.96	Professional		$30.20	$50.12	$630.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,122.02 / $1,995.26	Professional		$891.25	$1,122.02	$1,995.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $141.25 / $288.40	Facility		$47.86	$141.25	$288.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $239.88	Professional		$67.61	$79.43	$239.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $1,348.96	Professional		$213.80	$331.13	$1,348.96
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $331.13 / $1,348.96	Professional		$213.80	$331.13	$1,348.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $52.48 / $87.10	Professional		$46.77	$52.48	$87.10
SummaCare Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $257.04 / $794.33	Professional		$109.65	$257.04	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $54.95 / $75.86	Professional		$39.81	$54.95	$75.86