Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.86 / $672.30 / $1,162.00	Facility		$262.86	$672.30	$1,162.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $227.78 / $471.55	Professional		$200.66	$227.78	$471.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.01 / $189.07 / $318.08	Professional		$145.01	$189.07	$318.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $239.09 / $292.92	Facility		$197.22	$239.09	$292.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.22 / $249.05 / $433.20	Professional		$197.22	$249.05	$433.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $808.79 / $1,054.19	Facility		$386.84	$808.79	$1,054.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $268.02 / $561.91	Professional		$201.98	$268.02	$561.91
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $363.54 / $760.14 / $1,297.75	Facility		$363.54	$760.14	$1,297.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $258.72 / $467.41	Professional		$196.24	$258.72	$467.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $151.42 / $246.41 / $324.69	Professional		$151.42	$246.41	$324.69
United Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $261.58 / $466.39	Professional		$140.04	$261.58	$466.39